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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.

Answer and Explanation

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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Correct Answer is B

Explanation

Ranitidine is a histamine H2-receptor antagonist that blocks histamine-mediated gastric acid secretion.

Antacids can interfere with the absorption of ranitidine, so it is important to separate their administration by at least 1 hour.
Choice A is wrong because aspirin is a type of nonsteroidal anti-inflammatory drug (NSAID) which can increase the risk of peptic ulcers.
Choice C is wrong because fine hand tremors are not a known side effect of ranitidine.
Choice D is wrong because there is no need to avoid dairy products when taking ranitidine.

A. Review the adverse effects of the medication with the client. B. Compare the current and newly prescribed medications and note any discrepancies. C. Send a list of the prescribed medications to the client's pharmacy. D. Include the medications the client received during surgery on the client's medication list.

Correct Answer is B

Explanation

Compare the current and newly prescribed medications and note any discrepancies.

During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.

Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.

Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.

Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.

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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?

Nursing Test Bank

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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?