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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A vein that feels hard to the touch:
A vein that feels hard to the touch may indicate thrombosis or inflammation and is not a suitable site for catheter insertion.
B. A vein in the client's dominant arm:
The choice of arm may depend on the client's preference, but it is not a strict rule. The nurse can choose a suitable vein in either arm based on factors such as accessibility and vein condition.
C. A vein proximal to the previous site:
This is the correct answer. Placing the catheter proximal (above or upstream) to the previous site helps minimize the risk of complications such as infiltration and thrombophlebitis at the new site. It allows for optimal vein health and reduces the likelihood of complications associated with repeated punctures in the same area.
D. A vein on the client's wrist:
Veins on the wrist may be smaller and more prone to complications. It is generally recommended to choose larger, more accessible veins for catheter insertion.
Correct Answer is A
Explanation
A. Nitroglycerin: Contraindicated with sildenafil due to the risk of severe hypotension. Both medications cause vasodilation, and their combined use can result in a dangerous drop in blood pressure.
B. Albuterol: Albuterol is not a contraindication for sildenafil. It is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD).
C. Furosemide: Furosemide is a diuretic and is not a contraindication for sildenafil. However, it is important to consider the overall health and medical conditions of the individual.
D. Indomethacin: Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) and is not a contraindication for sildenafil. However, individuals taking NSAIDs should be cautious due to potential interactions and side effects.
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