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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weight gain: Methimazole is used to treat hyperthyroidism, and effective treatment often leads to weight gain, as metabolism normalizes.
B. Decreased menstrual flow: Methimazole can affect menstrual cycles, but decreased flow is not an indicator of effectiveness.
C. Clear breath sounds: This is not related to the effectiveness of methimazole.
D. Increased libido: Changes in libido are not a direct indicator of methimazole’s effectiveness.
Correct Answer is C
Explanation
A. Taking ginkgo biloba increases phenytoin levels: Ginkgo biloba can actually decrease the effectiveness of phenytoin, not increase it.
B. Taking phenytoin diminishes potassium levels: Phenytoin does not significantly affect potassium levels.
C. Monitor for gingival hyperplasia: Gingival hyperplasia is a common side effect of phenytoin.
D. Minimize exposure to sunlight: While this is a good practice, it is not as significant as monitoring for gingival hyperplasia with phenytoin use.
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