A patient who has a history of depression is prescribed ...

[schs14]

A patient who has a history of depression is prescribed propranolol (Inderal). Which precaution is most important for the nurse to teach the patient?
 
  a. You should expect a decrease in depression symptoms while you are taking propranolol.
  b. While taking propranolol you may notice that your depression gets worse.
  c. Stop taking propranolol whenever you experience depression symptoms.
  d. Propranolol may cause difficulty with the ability to perform sexually.

Question 2

A patient who has been prescribed acebutolol (Sectral) develops a heart rate of 48 beats per minute, dizziness, difficulty breathing, and bluish fingernails. What is the nurse's best action?
 
  a. Instruct the patient to take several slow deep breaths.
  b. Document these findings as expected with this drug.
  c. Place the patient in high Fowler's position.
  d. Hold the drug and notify the prescriber.

[trampas]

Answer to Question 1

B
Depression is a side effect associated with taking beta blockers such as propranolol. The depres-sion may be new onset, or a patient with a history of depression may find that it gets worse while taking these drugs. The patient should be instructed to report increased depression symptoms to the prescriber. The patient should not suddenly stop taking the drug. Although beta blockers of-ten do affect sexual ability, this is not related to depression.

Answer to Question 2

D
Acebutolol is a beta blocker. Signs of drug overdose for these drugs include very slow heart rate, severe dizziness or fainting, difficult breathing, bluish-colored fingernails or palms, and seizures. The nurse should hold the drug and immediately notify the prescriber.

[schs14]

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[trampas]

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