A nurse is reinforcing teaching about the side effects of metoprolol. Which of the following client statements indicates an understanding of the teaching?
"I need to be careful when standing up from bed."
"I should limit my intake of leafy green vegetables."
"I should expect some weight loss."
"I may experience loss of taste."
The Correct Answer is A
Choice A reason: Metoprolol, a beta-blocker, lowers BP, causing orthostatic hypotension. Caution when standing prevents falls, showing grasp of this key side effect.
Choice B reason: Leafy greens affect warfarin, not metoprolol. No dietary restriction applies, so this reflects confusion about beta-blocker side effects.
Choice C reason: Weight gain, not loss, may occur with metoprolol from fluid retention. Expecting loss misinterprets its metabolic impact, indicating misunderstanding.
Choice D reason: Taste loss isn’t a metoprolol effect; it’s linked to other drugs. This shows incorrect attribution of side effects to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Fidelity is keeping promises and maintaining trust, as the nurse commits to walking daily with the client. This builds therapeutic reliability, reducing anxiety through consistent support, aligning with ethical standards where honoring commitments fosters psychological safety and strengthens the nurse-patient relationship scientifically.
Choice B reason: Justice involves fair resource distribution, not individual promises like walking with a client. This scenario focuses on personal commitment, not equity among patients. Ethically, justice applies to systemic fairness, lacking relevance to this specific supportive action grounded in trust-building principles.
Choice C reason: Nonmaleficence means avoiding harm, but promising to walk exceeds mere harm prevention, aiming to alleviate anxiety actively. While it supports well-being, it’s not the primary principle here. Scientifically, this is more about trust than just safety, distinguishing it from nonmaleficence’s core intent.
Choice D reason: Autonomy respects client decisions, but the nurse’s promise is her initiative, not the client’s choice. It supports, not directs, independence. Ethically, autonomy focuses on self-determination, whereas this action reflects commitment, making fidelity the more fitting principle in this scenario.
Correct Answer is A
Explanation
Choice A reason: Palpitations at 34 weeks may signal arrhythmia or preeclampsia-related cardiac strain. This urgent symptom in pregnancy requires immediate provider evaluation.
Choice B reason: Weekly nosebleeds are common in pregnancy from vascular changes, less critical. Without severity, they’re not the priority over cardiac concerns.
Choice C reason: Red, blotchy palms (palmar erythema) are normal in pregnancy from estrogen. It’s benign, not urgent compared to potential heart issues.
Choice D reason: Persistent headaches suggest preeclampsia, but palpitations pose a more immediate cardiac risk. At 34 weeks, this takes reporting precedence.
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