Question

the nurse is providing education on the safe use of caffeine. the nurse would strongly discourage use in clients with a history of what disorders? select all that apply.
hypothyroidism
cardiac dysrhythmias
cataracts
bipolar disorder
history of stroke

Explanation:

• Caffeine stimulates the cardiovascular system, worsening cardiac dysrhythmias by increasing heart rate and contractility.
• Caffeine can trigger manic episodes in bipolar disorder due to its central nervous system-stimulating effects.
• Caffeine raises blood pressure, increasing stroke risk in those with a prior stroke history. Hypothyroidism and cataracts are not directly exacerbated by caffeine to a degree that warrants strong discouragement.

Answer:

cardiac dysrhythmias, bipolar disorder, history of stroke