Difficulty: Medium
Average Score: 73%
Simulated
A nurse is discussing with a client who knows someone taking metoprolol for blood pressure management. The client inquires whether metoprolol would be suitable for her as well. Based on the client's medical record, which of the following should the nurse recognize as a contraindication to metoprolol?
Correct answer
D
Rationale
Metoprolol, a beta-blocker, lowers heart rate, making sinus bradycardia (<60 BPM) a contraindication due to risk of severe bradycardia or heart block. Pneumonia and diabetes arenÔÇÖt direct contraindications; tadalafil requires caution but isnÔÇÖt absolute. Bradycardia poses the greatest risk.