Which of the following instructions should the nurse include when administering a beta-adrenergic like propranolol (Inderal) to the client?
1. Discontinue the medication immediately.
2. Notify your physician if you experience urinary retention.
3. Take a laxative every day.
4. Take the medication on an empty stomach.
2. Notify your physician if you experience urinary retention.
Rationale:
A beta-adrenergic blocker such as propranolol can cause urinary retention; therefore, it would be of the utmost importance to notify one's physician. Clients should always check with their physician 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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