A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?

Coagulation studies

Thyroid levels

Complete blood count

Serum electrolyte levels

Answer and Explanation

The Correct Answer is D

A. Coagulation studies: Hydrochlorothiazide does not typically affect coagulation parameters, making this unnecessary for routine monitoring.
B. Thyroid levels: Hydrochlorothiazide does not interfere with thyroid function.
C. Complete blood count: Although monitoring general blood health is important, hydrochlorothiazide primarily affects electrolytes.
D. Serum electrolyte levels: Hydrochlorothiazide is a diuretic that can cause electrolyte imbalances, including hypokalemia, hyponatremia, and hypercalcemia. Regular monitoring is essential.

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Correct Answer is D

Explanation

A. Check the client's MAR to see what the client received the day before: This does not address the issue of a potential medication error.
B. Ask the client what medication she took yesterday: The client may not accurately recall medication names or dosages.
C. Ask the client if she has any allergies: While important, this does not resolve the issue of the medication discrepancy.
D. Check the prescription in the client's medical record: This is the most appropriate action to verify the correct medication.

A. Request a different medication from the provider. B. Premedicate the client with diphenhydramine. C. Administer the medication to the client. D. Request a different route of administration from the provider.

Correct Answer is C

Explanation

A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.

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A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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