A client has an order to take propranolol (Inderal) 80 mg twice daily. To maximize the client's safety, it is imperative that the nurse teaches the client which of the following?
1. Do not abruptly stop the medication without consulting the physician.
2. Stop the medication immediately if experiencing nausea or a cough, then contact the health care provider.
3. Contact the health care provider immediately if experiencing fatigue.
4. If the client experiences headaches, the client should take an extra tablet.
Do not abruptly stop the medication without consulting the health care provider.
Rationale: Propranolol (Inderal), a beta adrenergic blocking agent, may be administered for hypertension. The client needs to know that this medication should not be abruptly stopped. Abrupt withdrawal of the medication could cause life-threatening dysrhythmias. The client may experience fatigue. This is something the client should address with the health care provider upon the next visit unless the fatigue is debilitating. If the fatigue is overpowering, the client can contact the health care provider to discuss this. However, it is not cause for immediate contact. Taking extra medication is never advised unless the health care provider is consulted.
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