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 C
Explanation
Choice A rationale: Platelet count monitoring is not specific to warfarin therapy; it's essential for other conditions but not primarily for warfarin monitoring.
Choice B rationale: артт (activated partial thromboplastin time) is more relevant for assessing heparin therapy.
Choice C rationale: INR monitoring is essential for clients on warfarin therapy to assess its anticoagulant effect and maintain therapeutic levels.
Choice D rationale: Fibrinogen monitoring is not specific to warfarin therapy.

Correct Answer is A
Explanation
Choice A rationale: Dopamine is administered in septic shock to increase blood pressure. If the client continues to exhibit hypotension, increasing the rate of infusion may be necessary to achieve the desired therapeutic effect.
Choice B rationale: Chest pain might indicate other issues but might not directly relate to the need for increasing the dopamine infusion rate.
Choice C: Extravasation is a complication of IV therapy but doesn’t necessarily warrant an increase in the dopamine infusion rate.
Choice D rationale: Headache might occur due to various reasons but might not solely indicate the need to increase the dopamine infusion rate.
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