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 ["0.7"]
Explanation
To calculate the amount of epoetin that the nurse should administer, we can use the following formula:
Amount to administer (mL) = (Desired dose in units) / (Amount of drug in 1 mL)
Given:
Desired dose = 7,000 units
Amount of drug in 1 mL = 10,000 units/mL
Now, let's calculate the amount to administer:
Amount to administer (mL) = 7,000 units / 10,000 units/mL
Amount to administer (mL) = 0.7 mL
Rounding to the nearest tenth, the nurse should administer 0.7 mL of the epoetin.
Correct Answer is C
Explanation
Choice A reason: This is incorrect. Dry cough and nose bleed are not common side effects of gemfibrozil. They may indicate other conditions, such as allergies, infections, or bleeding disorders.
Choice B reason: This is incorrect. Constipation and dry skin are not common side effects of gemfibrozil. They may be caused by dehydration, dietary factors, or other medications.
Choice C reason: This is correct. Abdominal pain and jaundice are serious side effects of gemfibrozil. They may indicate liver damage, which can be fatal if not treated promptly. The client should report these symptoms to the prescriber immediately.
Choice D reason: This is incorrect. Hirsutism and flatulence are not common side effects of gemfibrozil. They may be associated with hormonal imbalances, digestive disorders, or other causes.
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