Which instruction will the nurse include in a teaching plan for a client taking metoprolol (Lopressor) for treatment of hypertension?
a. Rise slowly from a supine or sitting position.
b. Limit fluid intake while taking this drug.
c. Frequent ophthalmic exams are encouraged.
d. Use lozenges if a dry cough occurs.
ANS: A
Beta blockers slow the pulse rate and decrease the blood pressure, which may cause orthostatic hypotension. The client should rise slowly from a supine or sitting position to prevent orthostatic hypotension. Fluids do not need to be restricted unless client has an underlying condition. Metoprolol does not adversely affect the eyes, so frequent ophthalmic examinations are not required. Metoprolol does not produce a dry cough.
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