A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching?(Select All that Apply.)
"This medication can make me have mood swings."
"I may have urinary incontinence while taking this medication."
"I should not drive while taking this new medication."
"I may have frequent hiccups while taking this medication."
"This new medication may decrease my sex drive."
Correct Answer : A,C,E
A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.
B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.
C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.
D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.
E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.
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Correct Answer is C
Explanation
A. S3 heart sounds. An S3 sound is more indicative of heart failure rather than PVCs specifically.
B. Increase in point of maximum impulse (PMI). PMI is typically displaced in conditions like ventricular hypertrophy or heart failure, not PVCs.
C. Irregular pulsations. PVCs are extra beats that interrupt the heart’s normal rhythm, leading to irregular pulsations on palpation.
D. Bradycardia. PVCs usually occur in the context of normal or elevated heart rates rather than bradycardia.
Correct Answer is B
Explanation
A. Swelling of the lower extremity can create a wound that is difficult to heal. Swelling typically relates to venous ulcers, not arterial ulcers, which are caused by reduced blood flow.
B. Decreased blood flow to the area can cause the wound and decrease the healing. Peripheral artery disease causes decreased blood flow, leading to poor oxygenation and slow healing of arterial ulcers.
C. Lower extremity compression stockings likely caused the wound to occur. Compression stockings are used in venous insufficiency and do not cause arterial ulcers.
D. Increased blood sugar associated with the condition is likely the cause of the wound not healing. While high blood sugar can impair healing, decreased blood flow is the primary cause of arterial ulcers in PAD.