Author Question: A client is prescribed propranolol (Inderal). What should the nurse instruct the client about this ... (Read 136 times)

TFauchery · **on:** Jul 23, 2018

A client is prescribed propranolol (Inderal). What should the nurse instruct the client about this medication?

1. The medication should be discontinued abruptly.
2. Notify the physician if you experience urinary retention.
3. Take a laxative every day.
4. Take the medication on an empty stomach.

Question 2

A client is having issues with urinary elimination. What should the nurse instruct this client to promote urinary elimination?

1. Don't interrupt your day by going to the bathroom; wait until you're at a good stopping place.
2. Drink 8 to 10 glasses of water daily.
3. Urine color changes are not important.
4. Wash with soap and water every other day.

Chou · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Clients should always check with their physician before stopping any medication because there could be some major complications.
Rationale 2: A beta-adrenergic blocker such as propranolol can cause urinary retention; therefore, it would be of the utmost importance to notify the physician.
Rationale 3: Constipation has been reported from clients taking propranolol, but a laxative should not be taken every day, as one can become dependent.
Rationale 4: This medicine should be taken with food, not on an empty stomach, in order to enhance absorption.

Answer to Question 2

Correct Answer: 2
Rationale 1: The client should respond to the urge to void as soon as possible to avoid urinary retention.
Rationale 2: Drinking 8 to 10 glasses of water daily will encourage the need for bladder emptying, keeping the system flushed.
Rationale 3: The client should report any changes in urine color, which could be indicative of a problem.
Rationale 4: To maintain asepsis, the client should wash with soap and water every day, not every other day.