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 D
Explanation
Choice A reason: A primary care provider focuses on medical care, not financial aid coordination. Scientifically, they diagnose and treat, lacking the resource linkage role needed for formula access, making this less effective for socioeconomic support postpartum.
Choice B reason: A nutritionist advises on diet, not funding solutions for formula. Scientifically, their expertise is nutritional planning, not social services, misaligning with the client’s economic barrier, requiring broader assistance beyond dietary guidance.
Choice C reason: A pediatric nurse practitioner manages child health, not financial resources. Scientifically, their scope is clinical, not case coordination, making them less equipped to address affordability compared to a role focused on systemic support.
Choice D reason: A case manager connects clients to resources like WIC for formula, addressing financial need. Scientifically, this role bridges socioeconomic gaps, aligning with evidence-based interprofessional care to ensure infant nutrition via community programs.
Correct Answer is A
Explanation
Choice A reason: Asking about a plan assesses immediate suicide risk, as a specific intent with means indicates high lethality. This prioritizes safety per psychiatric protocols, identifying actionable steps over background factors, aligning with scientific urgency to prevent harm by targeting the most direct threat indicator first.
Choice B reason: Family history of suicide is a risk factor, but not the priority over a current plan. It provides context, not imminent danger data. Scientifically, past events inform predisposition, yet assessing active intent trumps historical trends for acute intervention in suicidal ideation scenarios.
Choice C reason: Support systems reduce isolation, a suicide risk factor, but don’t gauge immediate intent. Asking about this is secondary to planning, as it addresses coping, not current danger level. Psychiatric evidence prioritizes intent assessment over social resources for urgent safety evaluation in ideation cases.
Choice D reason: Stressors contribute to ideation but identifying them is less urgent than a plan. They offer context, not actionable risk data. Scientifically, while stressors are relevant, determining if the client has a concrete method outweighs exploring triggers for prioritizing life-saving interventions in acute suicidal states.
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