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: Alopecia (hair loss) is not a common side effect associated with paroxetine use.
Choice B rationale: Drowsiness is a common adverse effect of paroxetine, a selective serotonin reuptake inhibitor (SSRI) antidepressant. Educating the client to monitor for this potential side effect is important.
Choice C rationale: Peripheral edema is an uncommon side effect of paroxetine use.
Choice D rationale: Tinnitus is not typically associated with paroxetine use.
Correct Answer is D
Explanation
Choice A rationale: Calcium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice B rationale: Magnesium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice C rationale: Sodium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice D rationale: Sodium polystyrene sulfonate is used to lower potassium levels in conditions like hyperkalemia. A decrease in potassium levels (within normal range)
indicates effectiveness.
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