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A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.

Hyperkalemia

Cardiac dysrhythmias

Seizures

Hypoglycemia

Answer and Explanation

The Correct Answer is B

Rationale:

A. Hyperkalemia is not typically associated with thiazide diuretics.

B. Cardiac dysrhythmias can occur with thiazide diuretics due to electrolyte imbalances.

C. Seizures are not typically associated with thiazide diuretics.

D. Hypoglycemia is not typically associated with thiazide diuretics.

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Correct Answer is D

Explanation

Rationale:

A. A weight gain of 0.5 kg (1 lb) in a week is not typically concerning for heart failure exacerbation.

B. Skipping a dose of a diuretic can lead to fluid retention and exacerbate heart failure symptoms.

C. Weighing daily is important for monitoring fluid retention, but the specific time of day is not as crucial as consistent timing.

D. A weight gain of 2 lbs. in 24 hours can indicate fluid retention and worsening heart failure.

A. "I will call the provider to get a prescription for discontinuing the IV heparin today." B. "Both heparin and warfarin work together to dissolve the clots." C. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay." D. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."

Correct Answer is D

Explanation

Rationale:

A. Discontinuing heparin abruptly without achieving therapeutic levels of warfarin increases the risk of thrombus formation.

B. Heparin and warfarin have different mechanisms of action, but they both serve to prevent clot formation.

C. Heparin and warfarin do not directly affect each other's therapeutic effects.

D. Warfarin takes time to reach therapeutic levels and become effective, so heparin is continued until warfarin is fully active.

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A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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