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 B
Explanation
A. Heart failure is not treated with folic acid; it is typically managed with medications like ACE inhibitors, beta-blockers, and diuretics.
B. Folic acid is used to treat megaloblastic anemia, which is often caused by folate deficiency.
C. Angina pectoris is treated with medications such as nitrates, beta-blockers, and calcium channel blockers.
D. Chronic kidney disease is managed with medications targeting blood pressure and other specific interventions, not folic acid.
Correct Answer is A
Explanation
A. Captopril (Capoten) is an ACE inhibitor known to cause a persistent dry cough as a common side effect due to the accumulation of bradykinin.
B. Nifedipine (Adalat) is a calcium channel blocker and typically does not cause a dry cough.
C. Verapamil (Calan) is also a calcium channel blocker and is not associated with a dry cough.
D. Propranolol (Inderal) is a beta-blocker and does not usually cause a dry cough.
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