The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal) to treat hypertension. The nurse learns that the patient has a history of asthma and diabetes. The nurse will take which action?
a. Administer the medication and monitor the patient's serum glucose.
b. Contact the provider to discuss another type antihypertensive medication.
c. Request an order for renal function tests prior to administering this drug.
d. Teach the patient about the risks of combining herbal medications with this drug.
ANS: B
Patients with chronic lung disease are at risk for bronchospasm with beta blockers, especially those like propranolol which are non-selective. Beta blockers, with the exception of carvedilol, also decrease the efficacy of many oral antidiabetic medications. The nurse should discuss a change in medications to one that does not carry this risk.
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