A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Hypocalcemia

Hypernatremia

Hypokalemia

Hypermagnesemia

Answer and Explanation

The Correct Answer is C

A. Hypocalcemia: Hydrochlorothiazide is not typically associated with lowering calcium levels. Hypocalcemia is not a common adverse effect of this medication.
B. Hypernatremia: Hydrochlorothiazide is a diuretic that increases urination, leading to the loss of water and sodium. While it can cause sodium depletion, it's less likely to result in hypernatremia, which refers to high sodium levels in the blood.
C. Hypokalemia: Hydrochlorothiazide is a thiazide diuretic that can increase the excretion of potassium in the urine. Hypokalemia (low potassium levels) is a known adverse effect of this medication due to its action on the kidneys leading to potassium loss.
D. Hypermagnesemia: Hydrochlorothiazide does not typically cause an increase in magnesium levels. It's more likely to cause magnesium loss through increased urination, potentially leading to hypomagnesemia (low magnesium levels) rather than hypermagnesemia.

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Correct Answer is C

Explanation

A. Transdermal: Epoetin alfa is not available for transdermal administration. It's a medication typically administered by injection.
B. Oral: Epoetin alfa is not orally active and is not available in oral form. The oral route is not suitable for this medication due to its large molecular size and degradation in the digestive system.
C. Intravenous (IV): This is the correct route for administering epoetin alfa. It is usually given as an intravenous injection in clinical settings.
D. Inhalation: Epoetin alfa is not formulated for inhalation. It is not administered through the respiratory system but rather through injection, most commonly intravenously.

A. Insulin glargine B. Regular insulin C. Exenatide D. Metformin

Correct Answer is D

Explanation

A. Insulin glargine:
Insulin glargine is a long-acting insulin used to control blood sugar levels in people with diabetes. However, it is typically not the first-line choice for a client with a new diagnosis of metabolic syndrome and an HbA1c of 6.
B. Regular insulin:
Regular insulin is a short-acting insulin used to control blood sugar levels, but it is not typically the first choice for initial management of metabolic syndrome. It may be considered in certain situations, but other options are often explored first.
C. Exenatide:
Exenatide is a medication that belongs to the class of incretin mimetics and is used to improve blood sugar control. However, it may not be the first choice for initial treatment.
D. Metformin:
This is the correct answer. Metformin is a first-line medication for the treatment of type 2 diabetes and is commonly used to manage metabolic syndrome. It helps improve insulin sensitivity and reduce glucose production by the liver.

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A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medication to a client who has a prescription for epoetin alfa. Which of the following routes of administration should the nurse plan to use?

Correct Answer is C

Explanation

A nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6 Which of the following medications should the nurse plan to teach the client about first?

Correct Answer is D

Explanation

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