Final answer:
The nurse should instruct a client prescribed propranolol, a β-blocker, to not double up on doses if one is missed, avoid discontinuing the medication abruptly, and to contact their healthcare provider if experiencing a pulse rate less than 50 beats per minute, which could indicate bradycardia, a side effect of propranolol.
Step-by-step explanation:
When educating a client who has a new prescription for propranolol, a type of β-blocker, the nurse should include important safety and usage information. Propranolol works by blocking the β-receptors, which can slow the heart rate (HR), making it useful in treating conditions such as hypertension. It is critical to use this medication as directed, and certain precautions should be followed:
- Never double the next dose if you miss a dose. Instead, take the missed dose as soon as you remember, unless it's close to the time of your next dose.
- Do not abruptly discontinue the medication, as this can cause rebound hypertension and other complications.
- If you experience a pulse rate less than 50 beats per minute or symptoms of bradycardia, contact your healthcare provider immediately.
- Be aware of the potential side effect of heat intolerance; plan activities and dress accordingly to avoid overheating.
The instruction 'If your pulse rate is less than 50 beats per minute, notify your provider' is a key point in monitoring for side effects such as bradycardia that can be caused by overprescription of β-blockers like propranolol.