Difficulty: Medium
Average Score: 90%
Simulated
A client who suffers from hypertension is prescribed propranolol. The nurse would educate the client on which side effects associated with this medication? (Select all that apply)
Correct answer
B
Rationale
The correct answer is B: Bronchoconstriction. Propranolol is a non-selective beta-blocker that can lead to bronchoconstriction in patients with asthma or chronic obstructive pulmonary disease (COPD) due to its effect on beta-2 receptors in the lungs. This can worsen respiratory conditions.
Choices A, C, D, and E are incorrect:
A: Masking of hypoglycemia - Propranolol can mask the signs of hypoglycemia (low blood sugar) by inhibiting the sympathetic response, but this is not a side effect that requires education.
C: Bradycardia - Propranolol can indeed cause bradycardia (slow heart rate), but this is a desired effect in patients with hypertension, not a side effect that necessitates education.
D: Coughing spells - Coughing spells are not a common side effect of propranolol and would not typically be a focus
Choices A, C, D, and E are incorrect:
A: Masking of hypoglycemia - Propranolol can mask the signs of hypoglycemia (low blood sugar) by inhibiting the sympathetic response, but this is not a side effect that requires education.
C: Bradycardia - Propranolol can indeed cause bradycardia (slow heart rate), but this is a desired effect in patients with hypertension, not a side effect that necessitates education.
D: Coughing spells - Coughing spells are not a common side effect of propranolol and would not typically be a focus