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 B

Explanation

A. A well-defined mass is typically benign, while malignant tumors are often irregular and less defined.

B. Nipple retraction or dimpling can be a sign of a malignant tumor because cancer can cause changes in the breast's structure.

C. Stretch marks are not related to malignancy and are often a result of changes in skin elasticity.

D. Tenderness of the breast is more commonly associated with benign conditions, such as fibrocystic changes, rather than malignancy.

A. Complete an incident report. B. Assess the client. C. Notify the nurse manager. D. Call the client's provider.

Correct Answer is B

Explanation

A. Completing an incident report is important but comes after ensuring the client's safety.

B. The priority is assessing the client for any adverse reactions or complications related to the incorrect medication.

C. Notifying the nurse manager should follow after the assessment and client stabilization.

D. The provider should be notified after assessing the client and identifying any clinical concerns.

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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

During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

Correct Answer is B

Explanation

While checking the client's medication administration record, it was determined the client received the wrong medication. Which action should the nurse implement first?

Correct Answer is B

Explanation

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