Which teaching points should the nurse include? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Metoprolol requires clinician-directed dosing and tapering. Clients with diabetes need careful glucose monitoring because some adrenergic hypoglycemia cues may be masked, and over-the-counter decongestants should be reviewed before use.
Clinical Reasoning Metoprolol requires clinician-directed dosing and tapering. Clients with diabetes need careful glucose monitoring because some adrenergic hypoglycemia cues may be masked, and over-the-counter decongestants should be reviewed before use.
Option Review
Correct — Hold parameters and symptoms require the prescribed plan; the item does not supply the client's actual parameter, so the nurse should not invent one.
Correct — Beta blockade can mask some hypoglycemia warnings, making glucose monitoring and alternate symptoms important.
Incorrect — The client should not create a taper or stop therapy based on short symptom-free periods.
Correct — Sympathomimetic decongestants may oppose cardiovascular goals and require review.
Correct — Abrupt withdrawal can exacerbate angina and ischemia.
Incorrect — Exercise-related heart-rate increase is not an indication for an unscheduled extra dose.
Sources
12026 NCLEX-RN Test Plan
2DailyMed: Metoprolol tartrate
A client with stable angina and type 2 diabetes is prescribed metoprolol tartrate. The client also uses over-the-counter cold products during allergy season.