A nurse is caring for a client in a provider's office.

Exhibits
Click to highlight the findings that indicate an adverse effect of the medication. To deselect a finding, click on the finding again.

Nurses' Notes

Today:

Client returns for follow-up visit after starting labetalol. Client reports feeling more tired since starting the medication and is having trouble sleeping. Client states. "I have also had loose stools several times this week and often get dizzy whenever I stand up."

Vital Signs

Today:

Temperature 37° C (98.6°F)

Heart rate 56/min

Respiratory rate 14/min

Blood pressure 118/76 mm Hg

feeling more tired

loose stools several times this week

dizzy whenever I stand up

Client returns for follow-up visit after starting labetalol

Heart rate 56/min

Answer and Explanation

The Correct Answer is ["A","B","C","E"]

●   Heart rate 56/min (bradycardia): Labetalol, a beta blocker, can lower the heart rate, leading to bradycardia, which may cause symptoms such as fatigue, dizziness, or weakness.
●   Dizziness when standing up (orthostatic hypotension): Labetalol can cause a drop in blood pressure when standing, resulting in dizziness or lightheadedness due to orthostatic hypotension.
●   Loose stools several times this week (gastrointestinal effects): Diarrhea or other gastrointestinal disturbances are possible side effects of labetalol. These can occur as the body adjusts to the medication.
●   Feeling more tired (fatigue): Fatigue is a common adverse effect of beta blockers like labetalol, often due to the medication’s heart rate-lowering and blood pressure-lowering effects.
●   Temperature 37° C (98.6°F): Normal temperature, indicating no signs of infection.
●   Blood pressure 118/76 mm Hg: This shows a good response to the medication, with controlled blood pressure, a positive effect of labetalol.

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Correct Answer is D

Explanation

A. Atropine: Atropine is an anticholinergic used to reduce secretions or treat bradycardia. It does not have sedative properties and is not used for moderate (conscious) sedation during procedures.

B. Lidocaine: Lidocaine is a local anesthetic used to numb specific areas of the body. While useful for localized pain control, it does not produce the sedation or amnesia required for moderate sedation.

C. Cyclobenzaprine: Cyclobenzaprine is a skeletal muscle relaxant used for musculoskeletal conditions. It is not used for procedural sedation and lacks the rapid onset and short duration desired in conscious sedation.

D. Midazolam: Midazolam is a short-acting benzodiazepine commonly used for moderate sedation. It provides anxiolysis, amnesia, and sedation, making it ideal for use during diagnostic or minor surgical procedures.

A. Temperature B. Blood pressure C. Oxygen saturation D. Respiratory rate

Correct Answer is B

Explanation

A. Temperature: Amlodipine does not affect or depend on body temperature for safety or effectiveness. Monitoring temperature is important for infection detection but not relevant prior to administering this antihypertensive.

B. Blood pressure: Amlodipine is a calcium channel blocker that lowers blood pressure by relaxing blood vessels. Assessing blood pressure prior to administration helps prevent hypotension, which is a common adverse effect of this medication.

C. Oxygen saturation: While important in respiratory or cardiac conditions, oxygen saturation is not directly impacted by amlodipine. It is not necessary to check this parameter specifically before giving the drug unless clinically indicated.

D. Respiratory rate: Respiratory rate is not typically affected by amlodipine. Though all vital signs are important, checking blood pressure is the most critical assessment before administering this antihypertensive medication.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assist with a procedure that requires moderate (conscious) sedation. Which of the following medications should the nurse expect to be prescribed to sedate the client?

Correct Answer is D

Explanation

A nurse is preparing to administer amlodipine to a client. Which of the following vital signs should the nurse assess before administration?

Correct Answer is B

Explanation

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