ATI RN
ATI NUR 112 Fundamentals Exam Questions
Extract:
Question 1 of 5
Administer a scheduled dose of labetalol PO to a client with hypertension. The client’s temperature is 99°F (37.2°C), a heart rate of 48 beats per minute, respirations of 16 breaths per minute, and a blood pressure of 150/90 mm Hg. Which action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Withhold the scheduled dose and notify the healthcare provider. Labetalol is a beta-blocker that can cause bradycardia (heart rate of 48 bpm) and hypotension, especially in clients with a low heart rate. With a heart rate of 48 bpm and a blood pressure of 150/90 mm Hg, administering labetalol can further lower the heart rate and blood pressure, potentially causing harm. Withholding the dose and notifying the healthcare provider allows for further assessment and appropriate management of the client's condition.
Choice B is incorrect because administering the dose without addressing the low heart rate can exacerbate bradycardia.
Choice C is also incorrect as assessing for orthostatic hypotension does not address the immediate issue of bradycardia.
Choice D is irrelevant as applying a telemetry monitor does not address the need to withhold the dose.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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