A client who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?

Neurologic status

Urine volume

Cardiac rhythm

Calcium level

Answer and Explanation

The Correct Answer is C

A. Neurologic status is important to monitor but is not directly related to evaluating calcium gluconate's effect on hyperkalemia.

B. Urine volume would not directly reflect the immediate effects of calcium gluconate in managing hyperkalemia.

C. Calcium gluconate is given to protect the heart from the effects of hyperkalemia by stabilizing the cardiac membrane. Monitoring the cardiac rhythm is essential to assess the effectiveness of the treatment.

D. The calcium level is relevant for monitoring the calcium treatment, but cardiac rhythm is a more immediate indicator of its effectiveness.

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Correct Answer is D

Explanation

A. Chronic asymptomatic HIV infection refers to a phase with no opportunistic infections and higher CD4+ counts.

B. A CD4+ T cell count below 200 cells/μL is abnormal and diagnostic of AIDS, not within the normal range.

C. The acute HIV infection phase occurs shortly after exposure, characterized by flu-like symptoms and high viral load, not opportunistic infections.

D. The presence of Pneumocystis jiroveci pneumonia (an AIDS-defining illness) and a CD4+ T cell count below 200 cells/μL confirms a diagnosis of AIDS.

A. It must be taken on an empty stomach. B. It must not be handled by pregnant women. C. It is given deep intramuscular injection to avoid tissue irritation. D. The client needs to be warned that hair loss is a common adverse effect.

Correct Answer is B

Explanation

A. Finasteride does not need to be taken on an empty stomach.

B. Finasteride can cause harm to a developing male fetus, and pregnant women should avoid handling it to prevent potential absorption through the skin.

C. Finasteride is an oral medication and is not administered as an intramuscular injection.

D. Hair loss is not a common adverse effect of finasteride; in fact, it is used to treat hair loss in men with benign prostatic hyperplasia.

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A client who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

During the administration of finasteride (Proscar), the nurse must remember which important precaution?

Correct Answer is B

Explanation

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