A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?

Serum electrolyte levels

Thyroid levels

Coagulation studies

Complete blood count

Answer and Explanation

The Correct Answer is A

A.   Hydrochlorothiazide can cause electrolyte imbalances, particularly hypokalemia (low potassium levels), hyponatremia (low sodium levels), and hypomagnesemia (low magnesium levels). Monitoring serum electrolyte levels, including potassium, sodium, and magnesium, is essential to detect and manage any abnormalities that may occur as a result of hydrochlorothiazide therapy.
B.   Thyroid levels are not typically affected by hydrochlorothiazide therapy. Therefore, monitoring thyroid levels is not necessary in clients taking hydrochlorothiazide for hypertension.
C.   Hydrochlorothiazide is not known to affect coagulation studies such as prothrombin time (PT), activated partial thromboplastin time (aPTT), or international normalized ratio (INR).
D.   Hydrochlorothiazide is not typically associated with significant hematologic effects that would necessitate routine monitoring of the complete blood count. Therefore, monitoring CBC is not routinely indicated for clients taking hydrochlorothiazide for hypertension.

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Correct Answer is C

Explanation

A. Opioid overdose typically results in central nervous system depression, which can lead to bradycardia (slow heart rate) rather than tachycardia. Bradycardia occurs due to decreased sympathetic nervous system activity.
B. Bradyppnea is a common finding in opioid overdose due to the depressive effect of opioids on the respiratory center in the brainstem. Opioids can suppress the drive to breathe, leading to shallow and rapid breathing, or even respiratory arrest in severe cases.
C. Sedation or drowsiness is a hallmark feature of opioid overdose. Oxycodone, like other opioids, acts on the central nervous system to produce analgesia and sedation. In cases of overdose, sedation may progress to unconsciousness and respiratory depression, which can be life-threatening.
D. Opioid overdose typically causes pinpoint (constricted) pupils rather than dilated pupils. The constriction of pupils, known as miosis, is a classic sign of opioid toxicity due to the suppression of the sympathetic nervous system.

A. "Swish the medication in your mouth." B. "Take the medication with meals." C. "Use a straw when taking theme D. "Drink at least 8 ounces of water after taking the medication."

Correct Answer is A

Explanation

A. Nystatin oral suspension is typically swished around the mouth before swallowing to ensure adequate coverage of affected areas, such as the oral mucosa. This helps to maximize the medication's contact with fungal infections in the mouth.
B. This instruction is not necessary for nystatin oral suspension. Nystatin oral suspension can be taken with or without food, as directed by the healthcare provider. Therefore, there is no specific requirement to take it with meals.
C. This instruction is not necessary for nystatin oral suspension. Using a straw is not typically recommended for taking oral medications unless specifically instructed by a healthcare provider. Therefore, this instruction is not relevant to the administration of nystatin oral suspension.
D. This instruction is not necessary for nystatin oral suspension. While drinking water after taking medication is generally a good practice to ensure proper swallowing and hydration, it is not specifically required for nystatin oral suspension.

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A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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