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. Administer more than one pill to the client at a time. B. Tilt the client's head back when administering the medications C. Place the medications on the back of the client's tongue D. Mix the medications with a semisolid fop for the client

Correct Answer is D

Explanation

A. Administer more than one pill to the client at a time: Administering more than one pill at a time may increase the risk of choking, especially for individuals with dysphagia. It's generally advisable to administer one medication at a time to ensure proper swallowing.
B. Tilt the client's head back when administering the medications: Tipping the head backward can increase the risk of aspiration (inhalation of medication into the airways). It is recommended to keep the head in a neutral or slightly forward position to facilitate swallowing.
C. Place the medications on the back of the client's tongue: Placing medications on the back of the tongue may trigger the gag reflex and increase the risk of aspiration. Medications should be placed on the front of the tongue to allow for better control and coordination of swallowing.
D. Mix the medications with a semisolid food for the client (Correct Answer): Mixing medications with a semisolid food, often referred to as "food thickening," can be beneficial for clients with dysphagia. This helps make the medications easier to swallow and reduces the risk of choking or aspiration. However, it is important to check with the healthcare provider or pharmacist to ensure compatibility with specific medications.

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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 is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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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?