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Chapter 21: Problem 22

The client with hypertension is being treated with diuretics and beta blockers for his hypertension. While taking beta blockers, the client should: A. Refrain from operating heavy equipment such as a bulldozer B. Check his pulse rate daily C. Allow six weeks for the medication to reach its optimal level D. Increase his intake of potassium-rich foods

Short Answer

Expert verified
Answer: The best piece of advice for a client with hypertension taking beta blockers is to check their pulse rate daily.

Step by step solution

01

Understand the Effects of Beta Blockers

Beta blockers, also known as beta-adrenergic blocking agents, work by blocking the beta receptors in your nervous system. This reduces your heart rate, which in turn reduces the workload on your heart and the force of blood flow through your arteries, helping to lower your blood pressure.
02

Evaluate Option A: Refrain from Operating Heavy Equipment

Although beta blockers can cause dizziness or lightheadedness, particularly when you first start taking them, it is not necessary to completely refrain from operating heavy equipment such as a bulldozer unless the symptoms impair the client's ability to do so safely.
03

Evaluate Option B: Check Pulse Rate Daily

The client is advised to monitor their pulse rate daily, as beta blockers work by reducing heart rate. This allows the client to keep track of their heart rate and ensure that it remains within a safe range. Additionally, this can help ensure that the dose of medication is appropriate to manage hypertension effectively. Therefore, option B is a good piece of advice.
04

Evaluate Option C: Allow Six Weeks for Medication to Reach Optimal Level

Beta blockers typically start to show results within a few hours to several days after taking the medication, depending on the specific drug and its dosage. The effect is not delayed up to six weeks. Therefore, option C is not accurate.
05

Evaluate Option D: Increase Intake of Potassium-Rich Foods

Diuretics may lead to potassium loss, and this could be a concern. However, beta blockers do not affect potassium levels. Therefore, increasing the intake of potassium-rich foods is not specifically related to the use of beta blockers. The client should consult with their healthcare provider about their potassium levels and any necessary dietary adjustments.
06

Determine the Best Piece of Advice

Based on the analysis, the client should follow option B: Check their pulse rate daily.

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Most popular questions from this chapter

A 55-year-old female is admitted to the emergency room complaining of indigestion and back and shoulder pain. She tells the nurse that she has taken several antacids for the past two days without relief of her symptoms. Which action would be most appropriate at this time? A. Ask the client if she has a history of gastric ulcers B. Allow the client to rest undisturbed C. Take the client's vital signs and contact the physician D. Obtain a history to rule out a hiatal hernia

The nurse is caring for the client admitted with severe chest pain. After checking the vital signs, the nurse's next action should be to: A. Prepare to administer oxygen by mask B. Administer morphine C. Prepare the defibrillator D. Take a complete history

The client is admitted two weeks after the onset of chest pain. Which laboratory test is the most indicative for a myocardial infarction? A. Creatine kinase (CK-MB) B. Troponin level C. Lactic acid dehydrogenase (LDH) D. Blood urea nitrogen (BUN)

If the client becomes toxic to his digitalis, he will experience which of the following symptoms? A. Tachycardia B. Hypotension C. Nausea and vomiting D. Diarrhea

The nurse is performing an ECG tracing on the client with a history of cardiac disease. Where should the nurse apply the negative lead? A. On the client's right chest at the second intercostal space B. On the client's anterior right leg C. On the client's left chest at the second intercostal space D. On the client's left chest at the apex of the heart
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