The nurse is taking the initial history of a client admitted to the hospital for hypertension. The health care provider has ordered a beta-adrenergic blocker. Which statement by the client does the nurse recognize as most significant?
1. "I don't handle stress well; I have a lot of diarrhea."
2. "I have always had problems with my asthma."
3. "When I have a migraine headache, I need to have the room darkened."
4. "My father died of a heart attack when he was 48 years old."
Correct Answer: 2
Rationale 1: There is no correlation between increased stress, diarrhea, and beta-adrenergic blockers.
Rationale 2: With increased doses, beta-adrenergic blockers can slow the heart rate and cause bronchoconstriction. They should be used with caution in clients with asthma.
Rationale 3: Beta-adrenergic blockers do not affect migraine headaches.
Rationale 4: Having a father who died of a heart attack when he was young is significant, but has no correlation to the use of beta-adrenergic blockers in this client.
Global Rationale: With increased doses, beta-adrenergic blockers can slow the heart rate and cause bronchoconstriction. They should be used with caution in clients with asthma. There is no correlation between increased stress, diarrhea, and beta-adrenergic blockers. Beta-adrenergic blockers do not affect migraine headaches. Having a father who died of a heart attack when he was young is significant, but has no correlation to the use of beta-adrenergic blockers in this client.
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