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."

Answer and Explanation

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.

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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.

A. Monitor the client for 1 hr after meals. B. Weigh the client every 2 days. C. Check the client's vital signs two times per week. D. Allow the client 2 hr to finish meals.

Correct Answer is A

Explanation

Choice A reason: Monitoring post-meals prevents purging, a common anorexia behavior. One hour ensures food retention, supporting nutritional recovery and countering compensatory actions effectively.

Choice B reason: Weighing every 2 days tracks trends, but daily is standard in anorexia to monitor refeeding risks like edema or cardiac strain more closely.

Choice C reason: Vital signs twice weekly miss acute changes in anorexia, like bradycardia from malnutrition. Daily checks are needed for safety during early treatment.

Choice D reason: Two hours per meal allows purging opportunities in anorexia. Shorter, supervised times prevent this, ensuring intake for nutritional rehabilitation success.

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A nurse is reinforcing teaching about the side effects of metoprolol. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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