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:

6000

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

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."

Temperature 37° C (98.6° F)

Heart rate 56/min

Respiratory rate 14/min

Blood pressure 118/76 mm Hg

Answer and Explanation

The Correct Answer is ["A","B","D"]

Client reports feeling more tired since starting the medication: Fatigue is a common side effect of beta-blockers due to decreased cardiac output.

Client states, "I have also had loose stools several times this week": Gastrointestinal disturbances, including diarrhea, can occur with labetalol.

Client states, "I often get dizzy whenever I stand up.": This suggests orthostatic hypotension, a known adverse effect of labetalol due to vasodilation and decreased sympathetic response.

Heart rate 56/min: This is bradycardia, a classic adverse effect of beta-blockers, particularly in clients without prior use.

The temperature, respiratory rate, and blood pressure are all within normal ranges.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Severe headache can result from epidural anesthesia due to post-dural puncture headache caused by leakage of cerebrospinal fluid.

B. Rapid rise in temperature may indicate infection but is not a common reaction to epidural anesthesia.

C. Hypertension is not a common adverse effect of epidural anesthesia; in fact, hypotension is more typical due to sympathetic blockade.

D. Tachycardia is not a typical adverse reaction, and the most likely response to epidural anesthesia is bradycardia due to autonomic blockade.

A. "Notify your provider if you have dark stools." B. "Administer this medication into a large muscle." C. "The purpose of the medication is to decrease bleeding! D. "Inject the needle at a 15-degree angle."

Correct Answer is A

Explanation

A. Dark stools could indicate gastrointestinal bleeding, a known side effect of enoxaparin, and should be reported immediately.

B. Enoxaparin should be injected subcutaneously, not into a muscle.

C. Enoxaparin is an anticoagulant and does not directly decrease bleeding; rather, it prevents blood clot formation.

D. Enoxaparin should be injected at a 90-degree angle into the subcutaneous tissue.

View Question and Answer

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who received succinylcholine IV bolus during an abdominal surgery. The client develops malignant hyperthermia. The nurse should administer which of the following medications?

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

A nurse is evaluating a return demonstration of enoxaparin administration by a client. Which of the following client actions indicates an understanding of the teaching?

A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?

A nurse is administering medications to a client. Which of the following medications should the nurse plan to administer by a parenteral route?

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take to prevent adverse effects?

A nurse is providing teaching to a client who has a new prescription for tetracycline. The nurse should instruct the client to avoid taking which of the following supplements with tetracycline?

A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1,000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?