A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Hypocalcemia

Hypernatremia

Hypokalemia

Hypermagnesemia

Answer and Explanation

The Correct Answer is C

A. Hypocalcemia: Hydrochlorothiazide is not typically associated with lowering calcium levels. Hypocalcemia is not a common adverse effect of this medication.
B. Hypernatremia: Hydrochlorothiazide is a diuretic that increases urination, leading to the loss of water and sodium. While it can cause sodium depletion, it's less likely to result in hypernatremia, which refers to high sodium levels in the blood.
C. Hypokalemia: Hydrochlorothiazide is a thiazide diuretic that can increase the excretion of potassium in the urine. Hypokalemia (low potassium levels) is a known adverse effect of this medication due to its action on the kidneys leading to potassium loss.
D. Hypermagnesemia: Hydrochlorothiazide does not typically cause an increase in magnesium levels. It's more likely to cause magnesium loss through increased urination, potentially leading to hypomagnesemia (low magnesium levels) rather than hypermagnesemia.

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Correct Answer is B

Explanation

A. Anxiety disorder: Anxiety disorder is generally not a contraindication for the use of oral contraceptives. However, it's essential to consider the overall health of the individual and potential interactions with medications used to manage anxiety.
B. History of deep-vein thrombosis (Correct Answer): A history of deep-vein thrombosis (DVT) is a significant contraindication to the use of oral contraceptives. Estrogen-containing contraceptives can increase the risk of blood clot formation, and individuals with a history of DVT are at an elevated risk for thrombotic events.
C. Ovarian cysts: Ovarian cysts alone are not a contraindication for oral contraceptives. In fact, oral contraceptives are sometimes prescribed to help regulate menstrual cycles and prevent the formation of certain types of ovarian cysts.
D. Client age of 36 years: Age alone is not a strict contraindication for oral contraceptives. However, as women age, especially beyond 35 years, healthcare providers may consider other risk factors such as smoking, hypertension, and cardiovascular health when prescribing oral contraceptives.

A. Hydromorphone B. Aspirin C. Caldoler D. Meloxicam

Correct Answer is A

Explanation

A. Hydromorphone: This is a potent opioid analgesic and is commonly used for the management of severe pain, especially in cancer patients. It provides strong pain relief and is often used in situations where other pain medications are not sufficient.
B. Aspirin: Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory and analgesic properties. While it may be used for pain relief in some situations, it is not typically the first choice for severe pain in pancreatic cancer.
C. Acetaminophen (Caldoler): Acetaminophen is a non-opioid analgesic and antipyretic. It is not as potent as opioids and may not be sufficient for managing severe pain, especially in the context of advanced cancer.

D. Meloxicam: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) and is not the first-line choice for severe pain, particularly in cancer patients. Opioid analgesics are generally preferred for managing severe pain in cancer.

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A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is requesting an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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