Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension?

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Question 1 of 5

Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension?

Correct Answer: C

Rationale: Labetalol decreases sympathetic nervous system activity by blocking both α- and b-adrenergic receptors, leading to vasodilation and a decrease in heart rate, which can cause severe orthostatic hypotension. Heart palpitations, dry mouth, dehydration, and headaches are possible side effects of other antihypertensives.

Question 2 of 5

During an adult patient's last two office visits, the nurse obtained BP readings of 122/84 mm Hg and 130/88 mm Hg, respectively. How would this patient's BP be categorized?

Correct Answer: B

Rationale: Prehypertension is defined systolic BP of 120 to 139 mm Hg or diastolic BP of 80 to 89 mm Hg.

Question 3 of 5

Which is NOT a baroreceptor site?

Correct Answer: D

Rationale: Pulmonary circulation is not a primary site for baroreceptors; they are mainly located in the carotid sinus and aortic arch.

Question 4 of 5

Considering conduction rates in myocardial cells, which statement is TRUE?

Correct Answer: B

Rationale: Perkinje fibres are fast-conducting fibres capable of transmitting depolarisation at speeds up to 4 m/sec.

Question 5 of 5

Within the circulation, where is blood pressure highest?

Correct Answer: B

Rationale: Blood pressure is highest in the left ventricle as it pumps oxygenated blood into the systemic circulation.

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