A patient states, I stopped taking that beta blocker last week. ...

[tichca]

A patient states, I stopped taking that beta blocker last week. It made me so tired, I just couldn't go on taking it. What are the priority nursing assessments? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Blood pressure
  2. Heart rhythm
  3. Urinary output
  4. Presence of chest pain
  5. Presence of respiratory crackles

Question 2

What is a priority nursing intervention for a patient who has just begun antihypertensive treatment with enalapril (Vasotec)?
 
  1. Monitor the patient for headaches.
  2. Take the patient's blood pressure.
  3. Order a sodium-restricted diet for the patient.
  4. Review the patient's lab results for hypokalemia.

[stillxalice]

Answer to Question 1

1,2,4
Rationale 1: Abruptly discontinuing beta blockers may result in acute resurgence of symptoms such as hypertension.
Rationale 2: Abruptly discontinuing beta blockers may result in acute resurgence of symptoms such as dysrhythmia.
Rationale 3: Abruptly discontinuing beta blockers should not have an immediate effect on urinary output.
Rationale 4: Abruptly discontinuing beta blockers may result in chest pain.
Rationale 5: Abruptly discontinuing beta blockers should not result in pulmonary complications.

Global Rationale: Abruptly discontinuing beta blockers may result in acute resurgence of symptoms such as hypertension, dysrhythmia, and the development of chest pain. Abruptly discontinuing beta blockers should not have an immediate effect on urinary output and should not result in pulmonary complications.

Answer to Question 2

2
Rationale 1: Although headache is a side effect, it is not the priority.
Rationale 2: Enalapril (Vasotec) may produce a first-dose phenomenon resulting in profound hypotension, which may result in syncope.
Rationale 3: Enalapril (Vasotec) does not affect sodium levels.
Rationale 4: Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia.
Global Rationale: Enalapril (Vasotec) may produce a first-dose phenomenon resulting in profound hypotension, which may result in syncope. Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia. Enalapril (Vasotec) does not affect sodium levels. Although headache is a side effect, it is not as big a priority as profound hypotension.

[tichca]

Both answers were spot on, thank you once again

[stillxalice]

Great! Please up vote