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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?

Hypermagnesemia.

Hypernatremia.

Hypocalcemia.

Hypokalemia.

Answer and Explanation

The Correct Answer is D

The nurse should monitor the client for hypokalemia as an adverse effect of hydrochlorothiazide.

Hypokalemia refers to a low level of potassium in the blood.

Choice A is wrong because hypermagnesemia is not a commonly reported adverse effect of hydrochlorothiazide.

Choice B is wrong because hypernatremia is not a commonly reported adverse effect of hydrochlorothiazide.

Choice C is wrong because hypocalcemia is not a commonly reported adverse effect of hydrochlorothiazide.

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Correct Answer is B

Explanation

Ranitidine is a histamine H2-receptor antagonist that blocks histamine-mediated gastric acid secretion.

Antacids can interfere with the absorption of ranitidine, so it is important to separate their administration by at least 1 hour.
Choice A is wrong because aspirin is a type of nonsteroidal anti-inflammatory drug (NSAID) which can increase the risk of peptic ulcers.
Choice C is wrong because fine hand tremors are not a known side effect of ranitidine.
Choice D is wrong because there is no need to avoid dairy products when taking ranitidine.

A. "I will limit potassium-rich foods in my diet.” B. "I will take the medication on an empty stomach.” C. "I will use salt substitutes in place of table salt.” D. "I will double up on my medication if I miss a dose.”

Correct Answer is A

Explanation

Spironolactone is a potassium-sparing diuretic that can increase potassium levels in the blood.

It is important for clients taking spironolactone to limit their intake of potassium-rich foods to prevent hyperkalemia (high potassium levels).

Choice B is wrong because “I will take the medication on an empty stomach,” is not the correct answer because spironolactone can be taken with or without food.

Choice C is wrong because “I will use salt substitutes in place of table salt,” is not the correct answer because many salt substitutes contain potassium and can increase the risk of hyperkalemia.

Choice D is wrong because “I will double up on my medication if I miss a dose,” is not the correct answer because it is not recommended to double up on medication if a dose is missed.

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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

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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?