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?
Serum electrolyte levels
Thyroid levels
Coagulation studies
Complete blood count
The Correct Answer is A
A. Hydrochlorothiazide can cause electrolyte imbalances, particularly hypokalemia (low potassium levels), hyponatremia (low sodium levels), and hypomagnesemia (low magnesium levels). Monitoring serum electrolyte levels, including potassium, sodium, and magnesium, is essential to detect and manage any abnormalities that may occur as a result of hydrochlorothiazide therapy.
B. Thyroid levels are not typically affected by hydrochlorothiazide therapy. Therefore, monitoring thyroid levels is not necessary in clients taking hydrochlorothiazide for hypertension.
C. Hydrochlorothiazide is not known to affect coagulation studies such as prothrombin time (PT), activated partial thromboplastin time (aPTT), or international normalized ratio (INR).
D. Hydrochlorothiazide is not typically associated with significant hematologic effects that would necessitate routine monitoring of the complete blood count. Therefore, monitoring CBC is not routinely indicated for clients taking hydrochlorothiazide for hypertension.
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Related Questions
Correct Answer is A
Explanation
A. According to the recommended immunization schedule, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, before starting school. This booster dose helps ensure long- term immunity against measles, mumps, and rubella.
B. The MMR vaccine is typically administered in two doses: the first dose at 12 to 15 months of age and the second dose at 4 to 6 years of age. There is no need for additional MMR immunizations over the next 2 years if the child receives the recommended doses.
C. While the child may receive additional immunizations at 3 years of age, such as the hepatitis B vaccine, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, not 3 years.
D. Titer testing is typically not recommended for determining the need for further MMR immunizations in young children. The immunization schedule provides specific recommendations for MMR vaccine doses based on age, rather than individual titers.
Correct Answer is D
Explanation
A. Sitting upright after taking the medication is not a standard recommendation.
B. Sustained-release verapamil tablets should not be crushed, chewed, or broken. Crushing a sustained- release tablet can disrupt the extended-release mechanism, leading to an immediate release of the entire dose, which can increase the risk of adverse effects and toxicity.
C. While monitoring is essential for some medications, anemia is not a specific concern related to sustained-release verapamil.
D. Verapamil has been reported to cause constipation as a side effect. This is one of the most commonly reported side effects of verapamil. It is suggested that this effect may be due to a delay in colonic transit.
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