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 B
Explanation
A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.
Correct Answer is B
Explanation
A. "I will crush the tablet to make it easier to swallow.": Sustained-release tablets should not be crushed or chewed, as this alters the release mechanism.
B. "I will increase my daily intake of fiber and fluid.": Verapamil can cause constipation, so increasing fiber and fluid intake helps prevent this side effect.
C. "I will follow up with monthly laboratory tests to check for anemia.": Verapamil does not typically require monitoring for anemia.
D. "I will sit upright for 30 minutes after taking the medication.": This advice is more relevant for medications that can cause esophageal irritation, such as bisphosphonates, not verapamil.
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