A nurse is caring for a client with congestive heart failure. The healthcare provider prescribes propranolol (Inderal) for the client. Which instruction should the nurse include when administering a beta-adrenergic like propranolol (Inderal) to the client
A) "This medication must be taken on an empty stomach."
B) "You will need to discontinue the medication when your symptoms subside."
C) "This medication causes constipation. You should take a laxative every day."
D) "It is important to notify the healthcare provider if you experience urinary retention."
Answer: D
A beta-adrenergic blocker such as propranolol can cause urinary retention; therefore, it would be important for the client to notify the healthcare provider if this occurs. Clients should always check with their healthcare provider before stopping any medication, because there could be some major complications. Constipation has been reported from clients taking propranolol, but a laxative should not be taken every day, as one can become dependent. This medicine should be taken with food, not on an empty stomach, in order to enhance absorption.
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