A patient states, "I stopped taking that beta blocker last week. It made me so tired, I just couldn't go on taking it." What are the priority nursing assessments? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Blood pressure
2. Heart rhythm
3. Urinary output
4. Presence of chest pain
5. Presence of respiratory crackles
1,2,4
Rationale 1: Abruptly discontinuing beta blockers may result in acute resurgence of symptoms such as hypertension.
Rationale 2: Abruptly discontinuing beta blockers may result in acute resurgence of symptoms such as dysrhythmia.
Rationale 3: Abruptly discontinuing beta blockers should not have an immediate effect on urinary output.
Rationale 4: Abruptly discontinuing beta blockers may result in chest pain.
Rationale 5: Abruptly discontinuing beta blockers should not result in pulmonary complications.
Global Rationale: Abruptly discontinuing beta blockers may result in acute resurgence of symptoms such as hypertension, dysrhythmia, and the development of chest pain. Abruptly discontinuing beta blockers should not have an immediate effect on urinary output and should not result in pulmonary complications.
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