Question

An adult male patient has taken metoprolol (Lopressor) for management of hypertension for 3 years. He says to the nurse, "I'm not going to take these drugs anymore, because they are interfering with my sex life." Which response by the nurse would be most therapeutic?

Select one:
a. "It is unfortunate that these drugs can cause erectile dysfunction, but managing your blood pressure is more important than your sexual performance."
b. "I understand how discouraging it must be to live with this side effect, but you could have a stroke if you do not take your blood pressure medicines."
c. "Let's discuss this effect with your physician. There are other drugs available to manage your blood pressure that may not have the same adverse effect."
d. "This should not be a concern for you since you are getting older."

Answer 1

The best response for a nurse to give a patient complaining about the side effects of metoprolol on sexual function is to discuss alternative blood pressure medications with their doctor.

Step-by-step explanation:

The most therapeutic response to the patient who has concerns about the side effects of metoprolol would be option c: "Let's discuss this effect with your physician. There are other drugs available to manage your blood pressure that may not have the same adverse effect." This response is empathetic, acknowledges the patient's concerns about erectile dysfunction, and suggests a constructive way forward by offering to consider alternative medications with the physician.