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?
Hypermagnesemia.
Hypernatremia.
Hypocalcemia.
Hypokalemia.
The Correct Answer is D
The nurse should monitor the client for hypokalemia as an adverse effect of hydrochlorothiazide.
Hypokalemia refers to a low level of potassium in the blood.
Choice A is wrong because hypermagnesemia is not a commonly reported adverse effect of hydrochlorothiazide.
Choice B is wrong because hypernatremia is not a commonly reported adverse effect of hydrochlorothiazide.
Choice C is wrong because hypocalcemia is not a commonly reported adverse effect of hydrochlorothiazide.
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Related Questions
Correct Answer is C
Explanation
Metformin is an antidiabetic agent used to treat type 2 diabetes mellitus.
It works by decreasing carbohydrate absorption from the gut, increasing glucose uptake in peripheral tissues in the presence of insulin, and reducing hepatic gluconeogenesis.
In normal patients, metformin ingestion is not associated with hypoglycemia.
However, it is still important to check the client’s glucose level to ensure that it is within a safe range.
Choice A is wrong because collecting the client’s uric acid level is not necessary after accidental administration of metformin.
Choice B is wrong because obtaining the client’s HDL level is not necessary after accidental administration of metformin.
Choice D is wrong because monitoring the client’s thyroid function levels is not necessary after accidental administration of metformin.
Correct Answer is A
Explanation
Total parenteral nutrition (TPN) is a method of administration of essential nutrients to the body through a central vein.
TPN solutions are customized for each client’s needs, including the exact amount of calories and nutrients necessary for total nutritional needs.
Monitoring the client’s weight daily is important to determine if nutritional goals are being met and to assess fluid volume status.
Choice B is wrong because TPN solutions are concentrated and can cause thrombosis of peripheral veins, so they require a central venous catheter and should not be hung to gravity to infuse.
Choice C is wrong because TPN solution should not be titrated to blood pressure.
Choice D is wrong because the client’s blood glucose level should be monitored more frequently than weekly when receiving TPN.
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