A nurse is taking care of a patient that has a new prescription for labetalol (beta blocker). What adverse effect should the nurse include in the medication education?

Hypokalemia

Bleeding

Bradycardia

Seizures

Answer and Explanation

The Correct Answer is C

A) Hypokalemia:
Hypokalemia (low potassium levels) is not a common adverse effect of labetalol. While some medications, such as diuretics, can lead to hypokalemia, labetalol does not typically affect potassium levels directly. Instead, labetalol's primary effects are on blood pressure and heart rate.

B) Bleeding:
Bleeding is not a typical adverse effect of labetalol. Labetalol is a beta blocker that works by blocking beta-adrenergic receptors, which lowers heart rate and blood pressure. It does not interfere with blood clotting or platelet function, so bleeding would not be a concern unless the patient is on other medications that affect coagulation (such as anticoagulants).

C) Bradycardia:
Bradycardia, or a slow heart rate, is a well-known and common adverse effect of beta blockers like labetalol. Labetalol works by blocking the beta-1 adrenergic receptors in the heart, which can reduce heart rate and lower blood pressure. In some individuals, this can result in bradycardia, which could lead to symptoms like dizziness, fatigue, and fainting.

D) Seizures:
Seizures are not a typical adverse effect of labetalol. Although central nervous system effects like dizziness or fatigue can occur due to the blood pressure-lowering effects, seizures are not commonly associated with this medication.

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Correct Answer is A

Explanation

A) "It sounds like you are exhausted":
This response demonstrates empathy, as the nurse is acknowledging the client's emotional state by reflecting back what the client might be feeling. The nurse recognizes the client's experience of being overwhelmed, using empathetic language to show understanding without judgment or offering solutions prematurely. The phrase "sounds like you are exhausted" is a way of mirroring the client's feelings and giving validation to their experience.

B) "You have so much to deal with. How can I be of help to you?":
While this response offers support and suggests the nurse is ready to help, it does not focus as much on empathy. It is more solution-focused, and while helpful, it doesn’t directly acknowledge or validate the emotional experience of the client as much as an empathetic response would. Empathy focuses on acknowledging the emotional state rather than jumping immediately to offering help.

C) "Tell me more about how you are feeling":
This is a good open-ended question that encourages the client to elaborate on their feelings, but it doesn’t directly reflect empathy. The question prompts the client to talk but does not explicitly acknowledge or validate their emotional experience, which is the primary goal of an empathetic response.

D) "It is impressive how you have managed to deal with this situation":
This response is more focused on offering praise, which, while positive, can come across as dismissive or minimizing of the client's distress. Instead of acknowledging the client's current feelings, it praises their past coping, which may not fully validate the emotional burden they are feeling at the moment. An empathetic response would focus on the client's current emotional state, not necessarily on past strength.

A. Experiencing the pain of grief B. Finding an enduring connection while embarking on a new life C. Accepting the reality of the loss D. Adjusting to an environment without the deceased

Correct Answer is D

Explanation

A) Experiencing the pain of grief:
Experiencing the pain of grief is one of the early stages of mourning, according to Worden's tasks of grieving. This task involves confronting and processing the emotional pain and sorrow that accompany the loss. However, the statement provided by the client — "I am learning how to pay my own bills" — suggests they are adapting to life changes and responsibilities, which is more aligned with the later stages of grieving. This does not reflect the immediate pain of grief, but rather a focus on adjusting to life after the loss.

B) Finding an enduring connection while embarking on a new life:
Finding an enduring connection while embarking on a new life refers to the task of establishing a continued relationship with the deceased, while simultaneously moving forward with one's life. While this task is essential in the long-term grieving process, it does not directly relate to the client's statement, which focuses on practical changes, such as learning to manage finances, rather than a spiritual or emotional connection with the deceased.

C) Accepting the reality of the loss:
Accepting the reality of the loss is another important task in Worden’s model. This involves coming to terms with the fact that the loved one is gone. However, the client's focus on learning practical tasks like paying bills indicates that they are already moving beyond the initial stages of grief, not just accepting the loss. The statement does not clearly indicate that the client is still in the phase of accepting the reality of the loss, but rather adjusting to the changes that the loss has brought.

D) Adjusting to an environment without the deceased:
The client's statement, "I am learning how to pay my own bills," suggests they are taking on new responsibilities and adjusting to the changes brought about by the death of their partner. This aligns with Worden’s task of adjusting to an environment without the deceased, which includes taking on new roles and responsibilities that the deceased partner previously managed, such as financial tasks, household duties, and other life changes.

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A nurse is taking care of a patient that has a new prescription for labetalol (beta blocker). What adverse effect should the nurse include in the medication education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E" in the NURSE mnemonic?

Correct Answer is A

Explanation

A nurse is caring for a client whose partner has recently died. The client ‘’I am learning how to pay my own bills.’’ The nurse should identify that the client is experiencing which of the following tasks in Worden’s Four Tasks of Grieving?

Correct Answer is D

Explanation

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