Difficulty: Medium
Average Score: 94%
Simulated
Administer a scheduled dose of labetalol PO to a client with hypertension. The clientÔÇÖs 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
Labetalol, a beta-blocker, risks worsening bradycardia (heart rate 48 bpm). Withholding the dose and notifying the provider (A) ensures safety. Administering (B) is unsafe. Orthostatic hypotension (C) is secondary. Telemetry (D) delays action.