A patient says, "Since I started taking metoprolol (Lopressor), I have been having problems having sex. I think I am going to stop taking it." What nursing responses are indicated?
1. "Sexual dysfunction is a common problem with this drug."
2. "Perhaps it would be better if you took atenolol (Tenormin)."
3. "I cannot stop you from discontinuing the drug."
4. "Stopping the drug all at once may make your blood pressure get higher."
5. "Try taking the drug early in the morning."
1,4
Rationale 1: One of the major causes of noncompliance is the effect beta blockers have on male sexual function.
Rationale 2: Atenolol (Tenormin) is also a beta blocker.
Rationale 3: While this is true, it does not address the issue.
Rationale 4: Abrupt cessation of beta-blocker therapy can result in rebound HTN.
Rationale 5: Time of administration is not likely to change overall effects of the drug.
Global Rationale: One of the major causes of noncompliance is the effect beta blockers have on male sexual function. Abrupt cessation of beta-blocker therapy can result in rebound HTN. Atenolol (Tenormin) is also a beta blocker. While it is true that the nurse cannot stop the patient from discontinuing the drug, this answer does not address the issue. Time of administration is not likely to change overall effects of the drug.
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