A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?
Medications can elevate potassium levels, avoid salt supplements.
Notify the provider with yellow or blurred vision.
Medication cannot be stopped abruptly.
Avoid grapefruit juice.
The Correct Answer is C
A. Propranolol does not typically elevate potassium levels, and salt supplements are not contraindicated.
B. Yellow or blurred vision is not commonly associated with propranolol use but with digoxin toxicity.
C. Abrupt discontinuation of propranolol can lead to rebound hypertension, tachycardia, or exacerbation of angina, so it should be tapered off under medical supervision.
D. Grapefruit juice does not significantly interact with propranolol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.
Correct Answer is C
Explanation
A. Zolpidem is used for insomnia and is not appropriate for managing alcohol withdrawal.
B. Morphine is an opioid analgesic and is not indicated for alcohol withdrawal.
C. Diazepam is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, including preventing seizures and delirium tremens.
D. Fluoxetine is an antidepressant and is not used for acute alcohol withdrawal management.
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