A client recently diagnosed with hypertension is prescribed a thiazide diuretic. Which condition below would be a contraindication associated with thiazide diuretics?
Renal failure
Hypertension
Heart failure
Idiopathic hypercalciuria
The Correct Answer is A
Choice A reason:
Renal failure is a contraindication for thiazide diuretics because these medications require adequate kidney function to be effective. In renal failure, the kidneys are not able to filter and excrete the medication properly, which can lead to toxic accumulation and adverse effects.
Choice B reason:
Hypertension is an indication for thiazide diuretics, not a contraindication. These medications are commonly used to help control high blood pressure by reducing fluid volume in the body.
Choice C reason:
Heart failure can be managed with thiazide diuretics as they help reduce fluid overload and improve symptoms. It is not a contraindication for this class of medication.
Choice D reason:
Idiopathic hypercalciuria, a condition of elevated calcium levels in the urine, can actually be managed with thiazide diuretics. These medications help reduce the amount of calcium excreted in the urine, making them beneficial rather than contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A WBC count of 8,000/mm³ falls within the normal range (4,000-11,000/mm³) and does not indicate a specific risk for delayed wound healing. It helps assess the immune response but is not a direct marker for nutrition or tissue repair.
Choice B reason: A hemoglobin level of 16 g/dL is within the normal range (13.8-17.2 g/dL for men, 12.1-15.1 g/dL for women) and indicates adequate oxygen-carrying capacity. While essential for overall health, it does not directly correlate with the risk of delayed wound healing in this context.
Choice C reason: This is the correct answer. Serum albumin levels are a marker of nutritional status. A level of 3.2 g/dL is on the lower side of the normal range (3.5-5.0 g/dL) and indicates potential malnutrition, which can impair wound healing by limiting the availability of necessary proteins and nutrients for tissue repair.
Choice D reason: An INR (International Normalized Ratio) of 0.9 is within the normal range (0.8-1.2) and reflects normal blood clotting. While important for understanding coagulation status, it does not indicate a direct risk for delayed wound healing related to nutrition or protein levels.
Correct Answer is A
Explanation
Choice A reason:
Renal failure is a contraindication for thiazide diuretics because these medications require adequate kidney function to be effective. In renal failure, the kidneys are not able to filter and excrete the medication properly, which can lead to toxic accumulation and adverse effects.
Choice B reason:
Hypertension is an indication for thiazide diuretics, not a contraindication. These medications are commonly used to help control high blood pressure by reducing fluid volume in the body.
Choice C reason:
Heart failure can be managed with thiazide diuretics as they help reduce fluid overload and improve symptoms. It is not a contraindication for this class of medication.
Choice D reason:
Idiopathic hypercalciuria, a condition of elevated calcium levels in the urine, can actually be managed with thiazide diuretics. These medications help reduce the amount of calcium excreted in the urine, making them beneficial rather than contraindicated.
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