Before administering the prescribed medication propranolol (Inderal) t

Before administering the prescribed medication propranolol (Inderal) to a client, the nurse contacts the health care provider to question the order. What health problems did the client have that caused the nurse to question the medication order?

1. COPD
2. Asthma
3. Arthritis
4. Gastritis
5. Heart failure

ANSWER

Correct Answer: 1, 2

Rationale: Beta-adrenergic blocking agents such as propranolol affect the sympathetic nervous system to reduce the workload of the heart. These drugs can negatively affect people with COPD because they may constrict airways by blocking beta-2 adrenergic receptors.