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
Hypokalemia
Hypernatremia
Hypermagnesemia
The Correct Answer is B
Choice A rationale: Hydrochlorothiazide does not typically cause hypocalcemia.
Choice B rationale: Hydrochlorothiazide is a diuretic that can cause potassium loss.
Hypokalemia (low potassium levels) is an adverse effect that needs monitoring due to its potential to exacerbate heart failure and lead to various complications.
Choice C rationale: Hydrochlorothiazide is more associated with hyponatremia rather than hypernatremia.
Choice D rationale: Hydrochlorothiazide is not linked to causing hypermagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Metformin is an antidiabetic medication, and administering it instead of metoprolol may affect the client's glucose levels. Checking the glucose level would help assess the impact and guide further actions.
Choice B rationale: Uric acid levels are not directly affected by metformin or metoprolol.
Choice C rationale: HDL levels are not directly impacted by the accidental administration of metformin instead of metoprolol.
Choice D rationale: Thyroid function levels are not immediately impacted by the accidental administration of metformin instead of metoprolol.
Correct Answer is B
Explanation
Choice A rationale: Propranolol and raloxifene are not typically associated with causing hearing loss.
Choice B rationale: Furosemide (loop diuretic) and amikacin (aminoglycoside antibiotic) can cause hearing loss, especially when used together, due to their potential ototoxic effects, requiring close monitoring for signs of hearing impairment in clients receiving both medications.
Choice C rationale: Losartan and atorvastatin are not commonly linked to causing hearing loss.
Choice D rationale: While digoxin can cause hearing disturbances, levothyroxine is not typically associated with hearing loss.
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