A client has been prescribed propranolol (Inderal) for a dysrhythmia. Which side effects noted in the nursing assessment might be related to propranolol (Inderal)? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Bradycardia
2. Tachycardia
3. Hypertension
4. Hypotension
5. Hyperglycemia
Correct Answer: 1, 4
Rationale 1: Blockade of beta receptors in the heart can result in bradycardia, and hypotension can cause dizziness and possible fainting.
Rationale 2: Tachycardia is incorrect because beta blockers slow heart rate and can cause bradycardia.
Rationale 3: Hypertension is incorrect because beta blockers lower blood pressure and can cause hypotension.
Rationale 4: Blockade of beta receptors in the heart can result in bradycardia, and hypotension can cause dizziness and possible fainting.
Rationale 5: Hyperglycemia is not a known side effect of beta blockers.
Global Rationale: Blockade of beta receptors in the heart can result in bradycardia, and hypotension can cause dizziness and possible fainting. Tachycardia is incorrect because beta blockers slow heart rate and can cause bradycardia. Hypertension is incorrect because beta blockers lower blood pressure and can cause hypotension. Hyperglycemia is not a known side effect of beta blockers.
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