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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: The nurse should not titrate TPN solution to blood pressure, as this can cause hypotension or hypertension.
Choice B rationale: The nurse should use an infusion pump to regulate the flow rate of TPN solution, not hang it to gravity, as this can cause over-infusion or under-infusion.
Choice C rationale: TPN is a form of nutrition that is delivered intravenously and provides all the essential nutrients for the client. TPN can cause fluid and electrolyte imbalances, infection, and hyperglycemia. Therefore, the nurse should monitor the client's weight daily to assess for fluid retention or loss, which can indicate overhydration or dehydration.
Choice D rationale: The nurse should also monitor the client's blood glucose level every 4 to 6 hours, not weekly, to detect and prevent hyperglycemia.

A. Calcium 8 mg/dL B. Magnesium 1.1 mEq/L C. Sodium 150 mEq/L D. Potassium 4.6 mEq/L

Correct Answer is D

Explanation

Choice A rationale: Calcium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice B rationale: Magnesium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice C rationale: Sodium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice D rationale: Sodium polystyrene sulfonate is used to lower potassium levels in conditions like hyperkalemia. A decrease in potassium levels (within normal range)
indicates effectiveness.

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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

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