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A nurse is taking care of a patient that has a new prescription for labetalol (beta blocker). What adverse effect should the nurse include in the medication education?
- A. Hypokalemia
- B. Bleeding
- C. Bradycardia
- D. Seizures
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. Labetalol is a beta blocker that slows down the heart rate by blocking beta-adrenergic receptors. This can lead to bradycardia, which is a slow heart rate. The nurse should educate the patient about this potential adverse effect to prevent any complications.
Hypokalemia (choice A) is not a common adverse effect of labetalol. Bleeding (choice B) is not directly associated with beta blockers like labetalol. Seizures (choice D) are not a typical adverse effect of labetalol. Therefore, the correct answer is C as it directly correlates with the mechanism of action of labetalol.
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A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates understanding of body mechanics?
- A. They bend at the hip when lifting
- B. They keep their feet together when lifting an object
- C. They stand close to the object being moved
- D. They twist their spine when lifting
Correct Answer: C
Rationale: The correct answer is C: They stand close to the object being moved. This action indicates understanding of body mechanics as it reduces the strain on the back by keeping the load close to the body's center of gravity. Standing close to the object allows for better leverage and control during the lift, minimizing the risk of injury.
Rationale for why other choices are incorrect:
A: Bending at the hip when lifting can put excessive strain on the lower back.
B: Keeping feet together may lead to instability and lack of balance during lifting.
D: Twisting the spine when lifting can result in spinal injuries and muscle strain.
A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?
- A. Diaphoresis
- B. Weight loss
- C. Hypotension
- D. Tachycardia
Correct Answer: D
Rationale: The correct answer is D: Tachycardia. In circulatory overload, the body is trying to compensate for the increased volume of fluid in the circulatory system by increasing the heart rate to maintain adequate circulation. Diaphoresis (A) is excessive sweating, not typically associated with circulatory overload. Weight loss (B) is not expected as circulatory overload is characterized by excess fluid retention. Hypotension (C) is unlikely as the body's response to fluid overload is to increase blood pressure. Tachycardia (D) is the correct choice as the heart rate increases to help pump the excess fluid throughout the body.
A nurse is caring for a client whose partner has recently died. The client states, 'I am learning how to pay my own bills.' The nurse should identify that the client is experiencing which of the following tasks in Worden’s Four Tasks of Grieving?
- A. Experiencing the pain of grief
- B. Finding an enduring connection while embarking on a new life
- C. Accepting the reality of the loss
- D. Adjusting to an environment without the deceased
Correct Answer: D
Rationale: The correct answer is D: Adjusting to an environment without the deceased. This task involves adapting to life without the presence of the deceased partner, such as taking on new responsibilities like paying bills. It signifies a significant step in the grieving process, as the individual begins to establish a new routine and sense of normalcy without their loved one.
Choice A (Experiencing the pain of grief) is not the correct answer because this task refers to acknowledging and processing the emotional pain associated with the loss, which is a different aspect of grieving.
Choice B (Finding an enduring connection while embarking on a new life) is not the correct answer as it involves integrating the memory and influence of the deceased into the individual's ongoing life, which is different from adjusting to the practical aspects of life without them.
Choice C (Accepting the reality of the loss) is not the correct answer as it pertains to coming to terms with the fact that the loved one has passed away, which is an important
A nurse is caring for a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?
- A. Place the client on a low-fiber diet
- B. Request a prescription for a mineral oil for the client
- C. Encourage the client to drink cold fluids
- D. Increase the client's fluid intake
Correct Answer: D
Rationale: The correct answer is D: Increase the client's fluid intake. This intervention helps prevent constipation by promoting hydration and softening stool. Adequate fluid intake aids in maintaining bowel motility and preventing hard stools. Low-fiber diet (A) can exacerbate constipation. Mineral oil (B) can lead to complications and should be avoided. Cold fluids (C) may cause discomfort and are not directly related to improving constipation. In summary, increasing fluid intake is the most appropriate intervention to address constipation in a client on bedrest.
A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?
- A. Use the provider’s initials after the prescription
- B. Repeat the prescription to the provider
- C. Write the prescription in shorthand
- D. Read back the prescription to the provider
Correct Answer: D
Rationale: The correct answer is D: Read back the prescription to the provider. This is crucial to ensure accuracy and prevent errors. By reading back the prescription, the nurse confirms understanding and allows the provider to clarify any misunderstandings immediately. This step promotes patient safety and effective communication.
Choice A (Use the provider’s initials after the prescription) is incorrect because it does not address the need for verification of the prescription details. Choice B (Repeat the prescription to the provider) is not as effective as reading back, as it may not ensure complete accuracy. Choice C (Write the prescription in shorthand) can lead to misinterpretation and errors.