Optiosn are not provided in the question. The complete question is as following:
The nurse in the outpatient clinic performs an assessment on a client who takes propranolol for management of palpitations associated with mitral valve prolapse. Which statement by the client should be reported immediately to the primary healthcare provider?
1. "My resting pulse was 60 this morning."
2. "I feel a little short of breath when walking."
3. "I have lost 5 pounds in the last 2 weeks."
4. "My blood pressure (BP) was lower this visit than last time."
Answer: 2. "I feel a little short of breath when walking."
Explanation:
Propranolol is a non-selective beta blocker and sites in the heart and lungs are blocked. The shortness of breath can be the product of the bronchospam adverse reactions or heart failure. The argument needs the primary health care provider to investigate immediately. Thus the statement saying "2. I feel a little short of breath when walking" is correct.
Other statemenst are incorrrect as: 1. statement is incorrect because the bradycardia is a side effect of propranolol. If their pulse is < 50 beats per minute (bpm) the client should be advised to contact their primary healthcare provider. It is normal to have a pulse rate of 60 bpm.
3. statement is incorrect because losing weight does not constitute a side effect of propranolol. Hypertension can promote weight loss regimes. Losing 5 pounds is within reasonable limits within 2 weeks.
4. statment is incorrect because the therapeutic effect of propranolol is on through BP. Unless the person is asymptomatic, there's no big problem with reduced BP.
Hence, the correct option is 2. "I feel a little short of breath when walking."
