A client asks the nurse, "What would happen if I stop taking the Inderal?" Which response by the nurse is the most appropriate?
Standard Text: Select all that apply.
1. "You could start sweating and have palpitations."
2. "You could get a headache."
3. "You could develop nausea and vomiting."
4. "Nothing will occur."
5. "The medication will not work if prescribed again."
Correct Answer: 1,2
Rationale 1: If beta blockers are withdrawn abruptly, the client could develop sweating and palpitations because of sensitivity of the heart to catecholamines.
Rationale 2: If beta blockers are withdrawn abruptly, the client could develop a headache because of sensitivity of the heart to catecholamines.
Rationale 3: Nausea and vomiting are not symptoms of rebound cardiac excitation from abruptly withdrawing a beta blocker.
Rationale 4: There are symptoms of cardiac rebound excitation that occur when abruptly withdrawing a beta blocker.
Rationale 5: There is no information to support the concept that a beta blocker will not be effective again if previously abruptly withdrawn.
Global Rationale: If beta blockers are withdrawn abruptly, the client could develop sweating palpitations, and headache because of sensitivity of the heart to catecholamines. Nausea and vomiting are not symptoms of rebound cardiac excitation from abruptly withdrawing a beta blocker. There is no information to support the concept that a beta blocker will not be effective again if previously abruptly withdrawn.
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