A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol\/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?<\/p>\n\n\n\n
A.
“The extra letters after the name of the medication mean it is a stronger dose.”<\/p>\n\n\n\n
B.
“I will not have to do anything different because it is the same medication.”<\/p>\n\n\n\n
C.
“Now I will not have to diet to lose weight.”<\/p>\n\n\n\n
D.
“With the new medication, I should experience fewer side effects.”<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is:<\/p>\n\n\n\n D. “With the new medication, I should experience fewer side effects.”<\/strong><\/p>\n\n\n\n The prescription change from metoprolol to metoprolol\/hydrochlorothiazide represents a shift in the management of the client’s hypertension. Here’s why option D is the correct response and why the other options are incorrect:<\/p>\n\n\n\n Option D: “With the new medication, I should experience fewer side effects.”<\/strong><\/p>\n\n\n\n Metoprolol is a beta-blocker used to manage hypertension by reducing heart rate and cardiac output. When combined with hydrochlorothiazide, a diuretic, the new medication\u2014metoprolol\/hydrochlorothiazide\u2014offers a dual approach to controlling blood pressure. Hydrochlorothiazide helps eliminate excess sodium and water from the body, which lowers blood pressure. Combining these medications can potentially provide a more effective blood pressure control, and in some cases, it might lead to fewer side effects compared to higher doses of a single medication. This combination therapy can enhance efficacy while potentially reducing side effects such as fluid retention or electrolyte imbalances, which might be more prominent with a single agent. Hence, experiencing fewer side effects is a valid expectation for the client.<\/p>\n\n\n\n Option A: “The extra letters after the name of the medication mean it is a stronger dose.”<\/strong><\/p>\n\n\n\n This statement is incorrect. The additional letters in “metoprolol\/hydrochlorothiazide” do not indicate a stronger dose but rather that the medication is a combination of two drugs. The combination aims to provide a broader approach to managing hypertension, not necessarily a stronger dosage of metoprolol.<\/p>\n\n\n\n Option B: “I will not have to do anything different because it is the same medication.”<\/strong><\/p>\n\n\n\n This statement is incorrect. While metoprolol is still part of the new prescription, the addition of hydrochlorothiazide means the client will be taking a combination medication. This change might require monitoring for different side effects, adhering to new dietary restrictions (due to hydrochlorothiazide\u2019s impact on potassium levels), and adjusting to the new medication regimen.<\/p>\n\n\n\n Option C: “Now I will not have to diet to lose weight.”<\/strong><\/p>\n\n\n\n This statement is incorrect. While hydrochlorothiazide helps with fluid retention, it does not replace the need for a healthy diet. Diet and lifestyle modifications are essential in managing hypertension and overall cardiovascular health, and the addition of hydrochlorothiazide does not eliminate the need for weight management.<\/p>\n\n\n\n In summary, option D reflects an understanding that the combination medication could lead to fewer side effects, which is a realistic expectation when compared to the potential side effects of taking higher doses of a single medication or managing side effects from only one type of antihypertensive drug.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol\/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching? A.“The extra letters after the name of the medication mean it is a stronger dose.” B.“I will not have to do anything […]<\/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-140056","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140056","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=140056"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140056\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n