A nurse is obtaining vital signs for a client who has been taking propranolol.Which of the following findings should the nurse identify as an adverse effect of the medication?

Choice A rationaleRespiratory rate of 24/min indicates possible respiratory distress but is not a common adverse effect of propranolol, which typically affects heart rate and blood pressure.Choice B rationaleAn oral temperature of 38.9° C (102°F) suggests fever, which is not a known adverse effect of propranolol. Common side effects are bradycardia, hypotension, and fatigue.Choice C rationaleBlood pressure of 118/78 mm Hg is within normal range (90/60 to 120/80 mm Hg) and is not an adverse effect of propranolol, which usually lowers blood pressure.Choice D rationaleApical pulse of 50/min indicates bradycardia, a common adverse effect of propranolol, which reduces heart rate by blocking beta-adrenergic receptors.