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 B
Explanation
Choice A reason: Recurring UTIs are physical health issues, not external stressors. They’re internal consequences, not environmental triggers, though stress may exacerbate them indirectly.
Choice B reason: A recent move is an external stressor, disrupting routine and social ties. It’s an environmental change, directly causing stress per psychological models.
Choice C reason: Feeling depressed is an internal emotional response, not an external stressor. It’s a symptom, not the originating environmental or situational cause.
Choice D reason: Nutritional knowledge lack is internal, a cognitive deficit. It’s not an external event or pressure, unlike a move’s tangible stress impact.
Correct Answer is C
Explanation
Choice A reason: Tetracycline allergy doesn’t cross-react with azithromycin, a macrolide. They’re distinct classes, so this isn’t a concern for chlamydia treatment safety.
Choice B reason: Sulfonamide allergy is unrelated to azithromycin’s macrolide structure. No cross-sensitivity exists, making this irrelevant for reporting in this case.
Choice C reason: Azithromycin is a macrolide; allergy to this class risks anaphylaxis. Reporting ensures safe alternative prescribing for chlamydia, a critical safety step.
Choice D reason: Penicillin allergy doesn’t affect azithromycin use; they’re unrelated structurally. This doesn’t require reporting, as no cross-reaction occurs here.
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