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
Hypokalemia
Hypernatremia
Hypermagnesemia
The Correct Answer is B
Choice A rationale: Hydrochlorothiazide does not typically cause hypocalcemia.
Choice B rationale: Hydrochlorothiazide is a diuretic that can cause potassium loss.
Hypokalemia (low potassium levels) is an adverse effect that needs monitoring due to its potential to exacerbate heart failure and lead to various complications.
Choice C rationale: Hydrochlorothiazide is more associated with hyponatremia rather than hypernatremia.
Choice D rationale: Hydrochlorothiazide is not linked to causing hypermagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Massaging the site might increase bleeding or cause irritation after subcutaneous injection.
Choice B rationale: Grasping the skin between the thumb and forefinger throughout the injection helps to stabilize the tissue and minimize the risk of injecting the medication into the muscle, which could lead to increased bleeding.
Choice C rationale: Aspiration is not required for subcutaneous injections and might not influence bleeding at the injection site.
Choice D rationale: The Z-track method is typically used for intramuscular injections to prevent medication from leaking into subcutaneous tissue, but it is not appropriate for subcutaneous heparin injections.
Correct Answer is C
Explanation
Choice A rationale: Naloxone is primarily used to reverse opioid overdose.
Choice B rationale: Alprazolam is a benzodiazepine typically prescribed for anxiety disorders.
Choice C rationale: Bupropion is a medication used to aid smoking cessation by reducing nicotine cravings and withdrawal symptoms. It's among the commonly prescribed medications for individuals seeking to quit smoking.
Choice D rationale: Melatonin is a supplement used for regulating sleep cycles and isn't directly linked to smoking cessation.
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