During discharge education, a nurse tells the client who is prescribed an adrenergic blocker to notify a healthcare provider before taking over-the-counter cold, cough, or sinus medication. Which condition does the nurse expect this client to have?
1. Hypertension
2. Gastritis
3. Seizures
4. Severe cold
1
Rationale 1: Hypertension is treated with adrenergic blockers. Adrenergic blockers relax vascular smooth muscle in small arteries, causing vasodilation, which results in decreased blood pressure. Over-the-counter medications likely contain autonomic agents that can potentiate the effects of the adrenergic blocker, causing severe hypotension, dizziness, fainting, dry mouth, shortness of breath, palpitations, or chest pain.
Rationale 2: Adrenergic blockers are not used to treat severe colds, gastritis, or seizures.
Rationale 3: Adrenergic blockers are not used to treat severe colds, gastritis, or seizures.
Rationale 4: Adrenergic blockers are not used to treat severe colds, gastritis, or seizures.
Global Rationale: Hypertension is treated with adrenergic blockers. Adrenergic blockers relax vascular smooth muscle in small arteries, causing vasodilation, which results in decreased blood pressure. Over-the-counter medications likely contain autonomic agents that can potentiate the effects of the adrenergic blocker, causing severe hypotension, dizziness, fainting, dry mouth, shortness of breath, palpitations, or chest pain. Adrenergic blockers are not used to treat severe colds, gastritis, or seizures.
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