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 C
Explanation
Choice A rationale: While monitoring sodium levels is important, a level of 139 mEq/L is within the normal range and might not directly correlate with cyclosporine
administration.
Choice B rationale: Though BUN levels can indicate kidney function, a level of 18 mg/dL falls within the normal range and might not immediately indicate adverse effects related to cyclosporine.
Choice C rationale: Cyclosporine, often prescribed for rheumatoid arthritis, can impact kidney function. An elevated creatinine level (2.5 mg/dL) might signify potential kidney impairment, necessitating immediate attention from the provider to assess and manage any adverse effects of the medication on renal function.
Choice D rationale: A potassium level of 4.2 mEq/L is within normal limits and might not directly relate to potential complications due to cyclosporine therapy.
Correct Answer is C
Explanation
Choice A rationale: Hypotension is not a common side effect of prednisone use.
Choice B rationale: Prednisone can also suppress the immune system, so the client should avoid immunizations that contain live viruses or bacteria.
Choice C rationale: Prednisone is a corticosteroid that can cause osteoporosis and increase the risk of fractures in long-term use. Therefore, the nurse should instruct the client to consume a diet high in calcium and vitamin D to prevent bone loss and promote bone health.
Choice D rationale: Prednisone use is more likely to cause hyperglycemia rather than hypoglycemia.
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