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 B

Explanation

A. Rectus femoris is not commonly used for IM injections in infants due to its proximity to large blood vessels and nerves.

B. The vastus lateralis is the preferred site for IM injections in infants as it is well-developed and away from major blood vessels and nerves.

C. The deltoid is not used for IM injections in infants due to its underdevelopment and small size.

D. The dorsogluteal site is avoided in infants due to the risk of injury to the sciatic nerve.

A. "You can continue to wear soft contact lenses while taking this medication." B. "You should take this medication once each day at bedtime." C. "This medication will not interfere with the effectiveness of oral contraceptives." D. "Your urine will turn orange while you are taking this medication."

Correct Answer is D

Explanation

A. Rifampin can discolor body fluids, including tears, which may stain soft contact lenses.

B. Rifampin is typically taken once daily but not necessarily at bedtime unless directed.

C. Rifampin can decrease the effectiveness of oral contraceptives; clients should use additional contraception.

D. Orange discoloration of urine and other body fluids is a harmless but expected effect of rifampin.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IM injection to an infant. Which of the following injection sites should the nurse select for administering the medication?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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