When teaching a client about beta blockers, what should the nurse include in the teaching plan regarding what can occur with abrupt discontinuation?
1. Dry mouth and painful urination
2. Dizziness and coma
3. Chest pain and rebound hypertension
4. Cramping and constipation
Correct Answer: 3
Rationale 1: Dry mouth and painful urination are not signs and symptoms of beta blocker side effects or abrupt discontinuation.
Rationale 2: Dizziness and coma are not signs and symptoms of beta blocker side effects or abrupt discontinuation.
Rationale 3: Chest pain and rebound hypertension can be caused by withdrawal from some antihypertensive medications, which can cause a syndrome of apparent sympathetic hyperactivity, especially in beta blockers. Do not discontinue beta blockers abruptly, as this can result in chest pain or rebound hypertension.
Rationale 4: Cramping and constipation are not signs and symptoms of beta blocker side effects or abrupt discontinuation.
Global Rationale: Dry mouth and painful urination are not signs and symptoms of beta blocker side effects or abrupt discontinuation. Dizziness and coma are not signs and symptoms of beta blocker side effects or abrupt discontinuation. Chest pain and rebound hypertension can be caused by withdrawal from some antihypertensive medications, which can cause a syndrome of apparent sympathetic hyperactivity, especially in beta blockers. Do not discontinue beta blockers abruptly, as this can result in chest pain or rebound hypertension. Cramping and constipation are not signs and symptoms of beta blocker side effects or abrupt discontinuation.
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