A patient who has a history of depression is prescribed propranolol (Inderal). Which precaution is most important for the nurse to teach the patient?
a. "You should expect a decrease in depression symptoms while you are taking propranolol."
b. "While taking propranolol you may notice that your depression gets worse."
c. "Stop taking propranolol whenever you experience depression symptoms."
d. "Propranolol may cause difficulty with the ability to perform sexually."
B
Depression is a side effect associated with taking beta blockers such as propranolol. The depres-sion may be new onset, or a patient with a history of depression may find that it gets worse while taking these drugs. The patient should be instructed to report increased depression symptoms to the prescriber. The patient should not suddenly stop taking the drug. Although beta blockers of-ten do affect sexual ability, this is not related to depression.
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a. cool alcohol sponges for 15 minutes of every hour b. heat to the injection site c. acetaminophen every 4 to 6 hours for a total of 3 doses d. Benadryl 50 mg every 4 to 6 hours for a total of 3 doses