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: Steri-strips support incision healing post-laparoscopy, falling off naturally in 7-10 days. This shows correct understanding of wound care instructions.
Choice B reason: Prolonged nausea isn’t expected post-cholecystectomy; it’s minimal with laparoscopy. Persistent symptoms suggest complications, not normal recovery understanding.
Choice C reason: High-fat diets strain digestion post-gallbladder removal, causing discomfort. Low-fat is advised, so this reflects a recovery misconception.
Choice D reason: Diarrhea may occur briefly, but not until diet shifts. Expecting it long-term misinterprets bile adjustment, needing dietary clarification.
Correct Answer is C
Explanation
Choice A reason: Threatening health consequences may escalate resistance in diabetes care. It dismisses feelings, reducing trust, and isn’t therapeutic for addressing refusal effectively.
Choice B reason: Guilt via family impact pressures the client, not exploring reasons. This approach hinders open dialogue, critical for diabetes self-management acceptance.
Choice C reason: Inviting thoughts fosters therapeutic communication, exploring barriers to insulin use. It respects autonomy, building trust essential for diabetes education and compliance.
Choice D reason: "Why" questions can feel confrontational, shutting down discussion. Open-ended inquiry better uncovers motivations in diabetes refusal, avoiding defensiveness.
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