The nurse is caring for a patient who has recently begun taking atenolol (Tenormin) to treat hypertension. The patient reports dizziness, nausea, vomiting, and decreased libido since beginning the medication. What will the nurse do?
a. Hold the next dose until the provider can be notified of these side effects.
b. Reassure the patient that these symptoms are common and not worrisome.
c. Recommend that the patient discuss these effects with the provider.
d. Suggest that the patient request a different beta-adrenergic blocker.
ANS: C
Beta-adrenergic blockers can cause these side effects, which are often dose-related. Patients experiencing these side effects should be encouraged to discuss them with their providers. Beta blockers should not be discontinued abruptly, or rebound symptoms may occur. Since symptoms may be dose-related, reassuring the patient is not correct. All beta blockers have similar side effects.
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