A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching?
(Select All that Apply.)

"This medication can make me have mood swings."

"I may have urinary incontinence while taking this medication."

"I should not drive while taking this new medication."

"I may have frequent hiccups while taking this medication."

"This new medication may decrease my sex drive."

Answer and Explanation

Correct Answer : A,C,E

A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.

B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.

C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.

D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.

E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.

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Correct Answer is B

Explanation

A. Bounding peripheral pulses: Hypokalemia typically causes weak, thready pulses rather than bounding ones.

B. Decreased deep-tendon reflexes: Hypokalemia can cause muscle weakness and decreased deep-tendon reflexes due to impaired neuromuscular function.

C. Hyperactive bowel sounds: Hypokalemia generally causes decreased or hypoactive bowel sounds due to slowed smooth muscle contraction.

D. Restlessness: Restlessness is not a typical sign of hypokalemia; hypokalemia more commonly causes weakness, lethargy, or fatigue.

A. S3 heart sounds B. Increase in point of maximum impulse (PMI) C. Irregular pulsations D. Bradycardia

Correct Answer is C

Explanation

A. S3 heart sounds. An S3 sound is more indicative of heart failure rather than PVCs specifically.

B. Increase in point of maximum impulse (PMI). PMI is typically displaced in conditions like ventricular hypertrophy or heart failure, not PVCs.

C. Irregular pulsations. PVCs are extra beats that interrupt the heart’s normal rhythm, leading to irregular pulsations on palpation.

D. Bradycardia. PVCs usually occur in the context of normal or elevated heart rates rather than bradycardia.

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A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching? (Select All that Apply.)

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A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching?
(Select All that Apply.)