A patient who was recently diagnosed with hypertension and placed on propranolol (Inderal) is seen in the clinic for an unrelated issue. Noting that the blood pressure is elevated, the nurse asks if the patient has been taking his medication
The patient says he quit because "I didn't like how I felt when I took it.". Based on this statement, what would be an appropriate response? 1. "Many male patients can experience side effects of this drug, which include altered libido and impotence. This is common. Tell me how you felt when you took the drug.".
2. "You shouldn't stop taking the drug without first talking to the doctor!"
3. Write a note in the patient's record but say nothing to the patient.
4. "I'm going to give you some information about this medication to take home and read. At your next visit, I'll have the doctor talk to you about it.".
1
Rationale 1: Antihypertensive drugs are a common cause of erectile dysfunction (ED) and loss of libido, and many men do not report the disorder. The side effects should be discussed when the prescription is given and reviewed at any follow-up visits. Offering an opening to discuss sexual dysfunction is relevant.
Rationale 2: Admonishing a patient for not taking medications does not address the problem.
Rationale 3: Merely noting the issue in the patient's chart does not address the problem.
Rationale 4: Offering factual information is relevant, but in this case the patient's hypertension remains untreated.
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