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 A
Explanation
A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.
Correct Answer is A
Explanation
A. Diluting liquid iron preparations with juice or water and using a straw can help prevent staining of the teeth and improve absorption.
B. Dairy products can inhibit iron absorption, so they should be avoided when taking iron supplements.
C. Green or black stools are a common side effect of iron supplements and do not typically require notifying the provider unless there are additional concerns.
D. Citrus juices, such as orange juice, can actually enhance iron absorption and are often recommended to be taken with iron supplements.
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