An older male patient is seen in the family practice clinic and ...

[rl]

An older male patient is seen in the family practice clinic and tells the nurse he no longer takes his metoprolol (Toprol) because it interferes with my lifestyle. What action by the nurse is best?
 
  a. Warn the patient of the complications of hypertension.
  b. Ask the patient if he can afford the medi-cation.
  c. Tell the patient this drug often causes erectile dysfunction.
  d. Take the patient's blood pressure and record the findings.

Question 2

The nurse documents that a newly widowed older adult patient is likely experiencing physical grief responses when she
 
  a. becomes hypotensive.
  b. has difficulty getting up from the chair.
  c. reports having tightness in the chest.
  d. develops a red rash over her upper chest and back.

[frre432]

Answer to Question 1

C
The nurse should let the patient know that medications in this drug class often cause erectile dysfunction. The nurse can then assess the patient for this issue. Warning the patient of compli-cations does not address the core problem and neither does taking his blood pressure. Asking the patient if he can afford the medications can be addressed later if ED is not a problem.

REF: N/A

Answer to Question 2

C
Physical symptoms are commonly associated with acute grief responses. Tearfulness, crying, loss of appetite, feelings of hollowness in the stomach, decreased energy, fatigue, lethargy, and sleep difficulties are common symptoms of grief. Other physical sensations may include tension, weight loss or gain, sighing, feeling something stuck in one's throat, tightness in one's chest or throat, heart palpitations, restlessness, shortness of breath, and dry mouth.

[rl]

Thank you

[frre432]

Happy to help you