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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Dizziness and lightheadedness may be indicative of hypotension, which can occur as a side effect of ramipril, particularly with the first dose or with dose adjustments. Administering an IV fluid bolus can help increase intravascular volume, improve blood pressure, and alleviate symptoms of hypotension.
A. Administering carbohydrates is not indicated for dizziness and lightheadedness associated with ramipril administration. Carbohydrates are typically used to treat hypoglycemia in clients with diabetes. Dizziness and lightheadedness in this scenario are unlikely to be caused by hypoglycemia.
B. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, itching, and insomnia. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Administering diphenhydramine may not address the underlying cause of the symptoms.
C. Naloxone is a medication used to reverse opioid overdose by blocking the effects of opioids at receptor sites. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Naloxone would not be appropriate in this situation.
Correct Answer is B
Explanation
B. Maculopapular rash is a potential adverse effect of ceftriaxone. It is a type of skin rash characterized by flat, red areas (macules) and raised, bumpy areas (papules). If a client develops a rash while taking ceftriaxone, it should be reported to the healthcare provider for evaluation.
A. Constipation is not a common adverse effect of ceftriaxone. It is more commonly associated with other medications or medical conditions unrelated to ceftriaxone.
C. Pitting edema is not a common adverse effect of ceftriaxone. It may occur as a result of other medical conditions or medications, but it is not specifically associated with ceftriaxone.
D. Concentrated urine is not a common adverse effect of ceftriaxone.
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