A client taking a beta-adrenergic blocker for hypertension should be monitored for which adverse effect?

A client taking a beta-adrenergic blocker for hypertension should be monitored for which adverse effect?

• A. Congestive heart failure
• B. Hypothyroidism
• C. Phlebitis
• D. Hypertension

Answer: (A)

Beta-blockers lower the heart’s workload by slowing the heart rate and reducing the force of contraction. In some patients, this negative inotropic effect can worsen or precipitate congestive heart failure, especially if there is underlying or developing heart dysfunction. That’s why monitoring for signs of heart failure is important when a beta-blocker is used for hypertension. Watch for symptoms like shortness of breath with activity, ankle or leg swelling, fatigue, rapid weight gain, or new crackles in the lungs. If these occur, reassess therapy and consider dose adjustment or alternative treatment. Hypothyroidism, phlebitis, and hypertension are not typical adverse effects of beta-blockers in this context.

Beta-blockers lower the heart’s workload by slowing the heart rate and reducing the force of contraction. In some patients, this negative inotropic effect can worsen or precipitate congestive heart failure, especially if there is underlying or developing heart dysfunction. That’s why monitoring for signs of heart failure is important when a beta-blocker is used for hypertension. Watch for symptoms like shortness of breath with activity, ankle or leg swelling, fatigue, rapid weight gain, or new crackles in the lungs. If these occur, reassess therapy and consider dose adjustment or alternative treatment.

Hypothyroidism, phlebitis, and hypertension are not typical adverse effects of beta-blockers in this context.