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?

Coagulation studies

Thyroid levels

Complete blood count

Serum electrolyte levels

Answer and Explanation

The Correct Answer is D

A. Coagulation studies: Hydrochlorothiazide does not typically affect coagulation parameters, making this unnecessary for routine monitoring.
B. Thyroid levels: Hydrochlorothiazide does not interfere with thyroid function.
C. Complete blood count: Although monitoring general blood health is important, hydrochlorothiazide primarily affects electrolytes.
D. Serum electrolyte levels: Hydrochlorothiazide is a diuretic that can cause electrolyte imbalances, including hypokalemia, hyponatremia, and hypercalcemia. Regular monitoring is essential.

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Correct Answer is C

Explanation

A. Increasing the dose too soon is inappropriate; therapeutic effects take time to manifest.
B. Amitriptyline can be taken with or without food; stomach contents do not affect its efficacy.
C. Most antidepressants, including amitriptyline, require 2-4 weeks for therapeutic effects. The client needs reassurance and education.
D. Switching medications prematurely is unnecessary unless severe side effects occur.

A. Sore throat B. Increased salivation C. Urge incontinence D. Gingivitis

Correct Answer is A

Explanation

A. Sore throat: Sore throat is a potential sign of agranulocytosis, a serious adverse effect of carbamazepine, and should be reported to the provider immediately.
B. Increased salivation: Increased salivation is not typically associated with carbamazepine and is not considered a common adverse effect.
C. Urge incontinence: Urge incontinence is not a known adverse effect of carbamazepine.
D. Gingivitis: Gingivitis is not a typical adverse effect of carbamazepine and is not generally a concern for this medication.

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Prescribed Medication	Nursing Instruction
Albuterol	Take your albuterol when you are having difficulty breathing. Hold your breath for 20 seconds when taking your albuterol.
Salmeterol	Take the salmeterol 5 minutes before the albuterol when you need both medications. Take the salmeterol 2 times each day.
Fluticasone	Rinse out your mouth after taking the fluticasone. Take the fluticasone as needed for an asthma attack.

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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?

Correct Answer is A

Explanation

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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?

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