A client is receiving the diuretic hydrochlorothiazide. When evaluating the client's response to hydrochlorothiazide, which common nontherapeutic response is important for the nurse to monitor?

Elevated glucose levels

Dysrhythmias

Elevated blood pressure

Impaired airway

Answer and Explanation

The Correct Answer is A

A. Hydrochlorothiazide is known to increase blood glucose levels, particularly in clients with diabetes or those at risk for glucose intolerance.

B. Dysrhythmias are more commonly associated with electrolyte imbalances like low potassium, but elevated glucose is more specific to hydrochlorothiazide use.

C. Hydrochlorothiazide typically lowers blood pressure, so elevated blood pressure is not a common nontherapeutic response.

D. Impaired airway is unrelated to hydrochlorothiazide use.

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Correct Answer is D

Explanation

A. Recommending a psychiatric consult is premature and not appropriate for routine anxiety during an assessment.

B. Starting with invasive aspects may increase the client's anxiety. Instead, the nurse should ease the client into the exam.

C. Staying with the client at all times may not be necessary and could make the client feel more uncomfortable.

D. Using a relaxed manner and reassuring the client can help reduce anxiety and make the physical assessment more comfortable.

A. Using the closed fist of the dominant hand. B. Using the hyperextended middle finger of the non-dominant hand. C. Using the palm of the non-dominant hand. D. Using the fingertips of the dominant hand.

Correct Answer is D

Explanation

A. A closed fist is used for assessing deeper structures, such as kidney tenderness, not the sinuses.

B. The hyperextended middle finger is typically used for indirect percussion, not direct.

C. The palm is not suitable for sinus percussion as it covers a large area and reduces sensitivity.

D. The fingertips of the dominant hand are best for direct percussion of the sinuses to assess for tenderness or fluid accumulation.

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A client is receiving the diuretic hydrochlorothiazide. When evaluating the client's response to hydrochlorothiazide, which common nontherapeutic response is important for the nurse to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to conduct a physical assessment on a client who appears uncomfortable and slightly anxious. Which action is the most appropriate for the nurse to take?

Correct Answer is D

Explanation

The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?

Correct Answer is D

Explanation

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