A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol.
Which of the following statements by the client indicates an understanding of the teaching?.<\/p>\n\n\n\n
A.
“I should expect to develop a slight cough while taking this medication.\u201d.<\/p>\n\n\n\n
B.
“I will sit on the side of the bed before I stand up.\u201d.<\/p>\n\n\n\n
C.
“I will not take my medicine if my heart rate is greater than 70\/min.\u201d.<\/p>\n\n\n\n
D.
“I should weigh myself on the same day once a week.\u201d.<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is B. “I will sit on the side of the bed before I stand up.\u201d<\/strong><\/p>\n\n\n\n Propranolol is a non-selective beta-blocker commonly used to manage hypertension, among other conditions. It works by blocking beta-adrenergic receptors in the heart and blood vessels, which leads to a decrease in heart rate and blood pressure. Clients on propranolol should be educated about potential side effects and management strategies to ensure effective treatment and minimize adverse effects.<\/p>\n\n\n\n Option A: “I should expect to develop a slight cough while taking this medication.”<\/strong><\/p>\n\n\n\n This statement is incorrect. Propranolol does not typically cause a cough. However, a chronic cough is more commonly associated with ACE inhibitors, a different class of antihypertensive medications. Therefore, this statement does not reflect an understanding of propranolol\u2019s side effects.<\/p>\n\n\n\n Option B: “I will sit on the side of the bed before I stand up.”<\/strong><\/p>\n\n\n\n This statement is correct. Propranolol can cause orthostatic hypotension, which is a sudden drop in blood pressure when standing up from a sitting or lying position. This can lead to dizziness or lightheadedness. To minimize these effects, clients are advised to sit on the edge of the bed for a few moments before standing up. This allows the body to adjust to the change in posture and helps prevent falls or fainting.<\/p>\n\n\n\n Option C: “I will not take my medicine if my heart rate is greater than 70\/min.”<\/strong><\/p>\n\n\n\n This statement is incorrect. Clients should not independently adjust or withhold medication based on heart rate without consulting their healthcare provider. Propranolol is intended to lower heart rate, and its dosage is usually adjusted based on blood pressure and heart rate assessments done by a healthcare provider. If clients are concerned about their heart rate, they should consult their provider rather than making changes on their own.<\/p>\n\n\n\n Option D: “I should weigh myself on the same day once a week.”<\/strong><\/p>\n\n\n\n This statement is not the most appropriate for a client on propranolol. Regular weight monitoring can be important for managing conditions like heart failure or for assessing fluid retention, but it is not specific to propranolol therapy. For clients on propranolol, the focus should be on monitoring for side effects such as orthostatic hypotension and understanding the need for medication adherence.<\/p>\n\n\n\n In summary, option B demonstrates an understanding of the practical steps to manage the common side effect of orthostatic hypotension associated with propranolol, making it the best response among the options provided.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol.Which of the following statements by the client indicates an understanding of the teaching?. A.“I should expect to develop a slight cough while taking this medication.\u201d. B.“I will sit on the side of the bed before I stand up.\u201d. C.“I will […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-135886","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/135886","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=135886"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/135886\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=135886"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=135886"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=135886"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n