The Plan Of Care For A Client With Hypertension Taking Propranolol Hydrochloride Should Include:

(Correct Answer Below)

The Plan Of Care For A Client With Hypertension Taking Propranolol Hydrochloride Should Include:

a) Measuring partial thromboplastin time weekly to evaluate blood clotting status. b) Instructing the client to notify the physician of irregular or slowed pulse rate. c) Instructing the client to discontinue the drug if nausea occurs. d) Monitoring blood pressure every week and adjusting the medication dose accordingly.
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B. Instructing the client to notify the physician of irregular or slowed pulse rate. Propranolol hydrochloride is a beta-adrenergic blocking agent used to treat hypertension. In addition to lowering blood pressure by blocking sympathetic nervous system stimulation, the drug lowers the heart rate. Therefore, the client should be assessed for bradycardia and other arrhythmias. The client needs to be instructed not to discontinue medication because sudden withdrawal of propranolol hydrochloride may cause rebound hypertension. Propranolol dosage is not typically adjusted based on weekly blood pressure readings. Measurement of partial thromboplastin time values is not a factor in treatment of hypertension.
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