Which of the following clients would the nurse question an order for labetalol 50 mg PO?
28 year old woman with pregnancy-induced hypertension
Pizza delivery driver with 5 year history of smoking
Client with a history of uncontrolled asthma
55 year old male who had a myocardial infarction 2 days ago
The Correct Answer is C
Choice A reason: This is incorrect because labetalol is a safe and effective medication for treating hypertension in pregnancy. Labetalol is a beta-blocker that lowers blood pressure by reducing the heart rate and the force of contraction. It does not affect the blood flow to the placenta or the fetus.
Choice B reason: This is incorrect because labetalol is not contraindicated for smokers. However, smoking is a risk factor for cardiovascular disease and should be discouraged by the nurse. Smoking can increase blood pressure, heart rate, and the risk of blood clots.
Choice C reason: This is correct because labetalol is contraindicated for clients with a history of uncontrolled asthma. Labetalol is a non-selective beta-blocker that can block the beta-2 receptors in the lungs and cause bronchoconstriction. This can worsen asthma symptoms and trigger an asthma attack.
Choice D reason: This is incorrect because labetalol is a suitable medication for clients who had a myocardial infarction. Labetalol can prevent further damage to the heart muscle by reducing the oxygen demand and the workload of the heart. It can also prevent arrhythmias and angina.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2500"]
Explanation
The nurse needs to administer 2.5 L of 0.45% sodium chloride IV over 24 hours.
We know that 1 L is equal to 1000 mL.
So, 2.5 L is equal to 2.5 x 1000 mL/L = 2500 mL
Therefore, the nurse should administer 2500 mL over 24 hours.
Correct Answer is ["0.75"]
Explanation
To calculate the volume of morphine injection that the nurse should administer, we can use the following steps:
Determine the volume to be administered:
We have a concentration of 10 mg/mL.
7.5 mg ÷ 10 mg/mL = 0.75 mL
Therefore, the nurse should administer 0.75 mL of morphine injection subcutaneously.
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