The client with diabetes is taking a beta-adrenergic blocker for the management of valvular disorder. Which statement made by the client indicates a need for further teaching?
A) "I should avoid taking OTC cold medicines."
B) "I should stop taking the medicine if I get dizzy."
C) "I should take the medicine before meals."
D) "I will need to check my blood sugar more often."
B
Feedback:
The client should report dizziness to the PCP but should NOT stop the medication until an evaluation of therapeutic effects has been decided. Abrupt withdrawal of beta-blockers can lead to rebound sympathetic overactivity. OTC medications, such as cold remedies, can interfere with beta-blockers should be avoided. Beta-blockers should be taken before meals because food delays peak effects. Clients with diabetes should monitor blood sugars regularly because beta-blockers can mask signs of hypoglycemia and hyperglycemia.
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