Final answer:
The client taking metoprolol for hypertension should report 'D. Cold extremities' to the healthcare provider as this is a known adverse effect of beta blockers like metoprolol.
Step-by-step explanation:
A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. Metoprolol is a beta blocker medication that works by blocking beta-1 receptors, which can decrease heart rate and blood pressure. Patients taking metoprolol should be aware of possible side effects that should be reported to their healthcare provider.
Regarding the provided answer choices for adverse effects of metoprolol:
- A. Dry cough - This is more commonly associated with ACE inhibitors, not beta blockers.
- B. Weight loss - This is generally not associated with beta blockers and could indicate other conditions.
- C. Increased heart rate - This would be unusual as metoprolol typically decreases heart rate. An increase could suggest inadequate control of hypertension or medication non-compliance.
- D. Cold extremities - This is a known side effect of beta blockers, including metoprolol, and should be reported to a healthcare provider.
In conclusion, the client should report manifestation D. Cold extremities to the provider as an adverse effect of metoprolol. It is crucial for patients to monitor for signs of adverse effects from their medications and communicate any concerns to their healthcare provider.