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 C

Explanation

A. Dyspnea: Dyspnea is more indicative of fluid overload or an anaphylactic reaction.
B. Urticaria: Urticaria is a hallmark of an allergic reaction to transfused plasma proteins.
C. Chills: A febrile nonhemolytic reaction, the most common transfusion reaction, is characterized by chills, fever, and sometimes mild dyspnea or headache.
D. Vomiting: Vomiting is not a typical manifestation of a febrile nonhemolytic reaction.

A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds). B. A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1). C. A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds). D. A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1).

Correct Answer is A

Explanation

A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds).: This is significantly elevated and indicates a risk for bleeding, as the therapeutic range for heparin is typically 1.5–2.5 times the normal value.
B. A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1): This is within the therapeutic range for most conditions treated with warfarin (e.g., 2.0–3.0).
C. A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds): This is slightly elevated but still within the therapeutic range for heparin (typically 60–80 seconds).
D. A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1): This is within the therapeutic range for most warfarin indications.

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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?

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