Which instruction should the nurse include in the discharge teaching plan of a client being treated with propranolol (Inderal) for angina?
1. "Salt and salt substitutes can be used with this medication."
2. "Take a double dose if you miss a dose."
3. "Do not stop taking this medication without talking to your health care provider."
4. "Use an OTC medication in case you develop nasal allergies."
Correct Answer: 3
Rationale 1: Salt and salt substitutes cannot be used with this medication. Consult with prescriber regarding salt intake. Drug plasma volume might increase with risk of congestive heart failure if dietary sodium is not restricted in patients who are not receiving concurrent diuretic therapy.
Rationale 2: If the dose is missed, the regular dose must be taken at the next scheduled time. The dose cannot be doubled up.
Rationale 3: Propranolol (Inderal) must not be abruptly discontinued because it can cause tremors, sweating, palpitation, malaise, headache, rebound HTN, and life-threatening dysrhythmias (in patients with angina pectoris or MI).
Rationale 4: The health care provider must be consulted before the client takes OTC drugs, dietary supplements, or herbal remedies, because these can interact with propranolol (Inderal).
Global Rationale: Propranolol (Inderal) must not be abruptly discontinued because it can cause tremors, sweating, palpitation, malaise, headache, rebound HTN, and life-threatening dysrhythmias (in patients with angina pectoris or MI). Salt and salt substitutes cannot be used with this medication. Consult with prescriber regarding salt intake. Drug plasma volume might increase with risk of congestive heart failure if dietary sodium is not restricted in patients who are not receiving concurrent diuretic therapy. If the dose is missed, the regular dose must be taken at the next scheduled time. The dose cannot be doubled up. The health care provider must be consulted before the client takes OTC drugs, dietary supplements, or herbal remedies, because these can interact with propranolol (Inderal).
You might also like to view...
The public health clinic was going to have its once-a-month dental clinic in the small community with a visiting volunteer dentist from the "big city." What would be the most important task in preparation for this clinic?
A. Plan to be there that day to assist with client flow. B. Scrub the dental clinic from top to bottom and sterilize all the dental equipment. C. Tell everyone to please make an appointment to decrease waiting time. D. Use every means possible to let the community know the date of the dental clinic.
The nurse is assisting a client out of bed for the first time after surgery. What action should the nurse do first?
A) Place a chair at a right angle to the bedside. B) Encourage deep breathing prior to standing. C) Help the client to sit and dangle legs on the side of the bed. D) Allow the client to sit with the bed in a high Fowler's position.
If a woman's prepregnancy resting heart rate is 70 beats per minute, you would expect her heart rate to range between ____ and ____ at term.
A) 75, 85 B) 85, 90 C) 90, 100 D) 100, 110
A registered nurse is preparing to perform a physical examination on a 5-year-old child. What can the nurse do to make the child feel safer during the examination?
A. Examining his fingernails before listening to his breath sounds B. Asking the child to put on a gown before the examination C. Using medical language to demonstrate her competence D. Inviting the child's siblings to be present for the examination