Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this medication when the patient reveals a history of
a. asthma.
b. daily alcohol use.
c. peptic ulcer disease.
d. myocardial infarction (MI).
ANS: A
Nonselective ?-blockers block ?1- and ?2-adrenergic receptors and can cause bronchospasm, especially in patients with a history of asthma. ?-Blockers will have no effect on the patient's peptic ulcer disease or alcohol use. ?-Blocker therapy is recommended after MI.
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