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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Fentanyl buccal film is a small film that sticks to the inside of the cheek and eventually dissolves within 15 to 30 minutes after it is applied.
It is used to manage breakthrough pain in patients with cancer who are already using another opioid pain medicine around-the-clock.
Choice A is wrong because the medication should not be placed on the client’s tongue for dissolution.
Choice B is wrong because the medication should not be dissolved in water before administering it.
Choice D is wrong because the client should not be instructed to swallow the medication with a sip of water.
Correct Answer is A
Explanation
The correct answer is choice A. Increased pulse rate.
An aPTT of 90 seconds is much higher than the normal range of 30-40 seconds, which means the blood takes longer to clot and the client is at risk of bleeding. An increased pulse rate is a sign of blood loss and shock.
Choice B is wrong because increased blood pressure is not a sign of bleeding, but rather a sign of hypertension or stress.
Choice C is wrong because decreased temperature is not a sign of bleeding, but rather a sign of hypothermia or infection.
Choice D is wrong because decreased respiratory rate is not a sign of bleeding, but rather a sign of respiratory depression or sedation.
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