Pharmacology Proctored ATI Practice Exam

What adverse reaction should a nurse monitor for in a client prescribed propranolol?

1. Postural hypotension

2. Increased salivation

3. Hyperglycemia

4. Urinary retention

The correct answer is: Postural hypotension

A nurse should monitor for postural hypotension in a client prescribed propranolol. Propranolol is a non-selective beta-adrenergic blocker that can cause a decrease in blood pressure, especially when the client changes positions (such as standing up from a sitting or lying position). This can lead to symptoms such as dizziness, lightheadedness, and even fainting. Monitoring for postural hypotension is crucial to prevent falls and other complications in clients taking propranolol. Increased salivation, hyperglycemia, and urinary retention are not typically associated with propranolol use and would not be the primary adverse reaction to monitor for in a client prescribed this medication.