A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following adverse effects should the nurse monitor the client for?

Ototoxicity

Weight gain

Hyperkalemia

Hypotension

Answer and Explanation

The Correct Answer is D

A. “Ototoxicity”: Ototoxicity, or damage to the ear, is not a common side effect of hydrochlorothiazide. This side effect is more commonly associated with certain antibiotics or loop diuretics, not thiazide diuretics like hydrochlorothiazide.

B. “Weight gain”: Weight gain is not typically associated with hydrochlorothiazide. In fact, because hydrochlorothiazide is a diuretic and helps eliminate excess fluid from the body, it may more commonly cause weight loss.

C. “Hyperkalemia”: Hydrochlorothiazide can actually lead to hypokalemia, or low potassium levels, not hyperkalemia (high potassium levels). This is because hydrochlorothiazide increases the excretion of potassium in the urine.

D. “Hypotension”: Hydrochlorothiazide is a diuretic that works by eliminating excess fluid and sodium from the body. This can lead to a decrease in blood pressure, or hypotension. Therefore, the nurse should monitor the client for signs of hypotension, such as dizziness, fainting, or lightheadedness. If these occur, it may indicate that the medication dose needs to be adjusted.

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Correct Answer is C

Explanation

A. “Taking an HMG CoA reductase inhibitor”: HMG CoA reductase inhibitors, also known as statins, are used to lower cholesterol levels. While they can interact with many medications, they do not specifically predispose a client to developing digoxin toxicity.

B. “Having a prolapsed mitral valve”: A prolapsed mitral valve can lead to mitral valve regurgitation and potentially heart failure, but it does not specifically predispose a client to developing digoxin toxicity.

C. “Taking a high-ceiling diuretic”: This is the correct answer. High-ceiling diuretics, also known as loop diuretics, can cause electrolyte imbalances, particularly low potassium levels (hypokalemia). Digoxin toxicity is more likely to occur when potassium levels are low, as digoxin and potassium compete for the same binding sites in the body. Therefore, taking a high-ceiling diuretic can predispose a client to developing digoxin toxicity.

D. “Having a 10-year history of COPD”: While chronic obstructive pulmonary disease (COPD) can exacerbate heart failure symptoms, it does not specifically predispose a client to developing digoxin toxicity.

A. Decrease in respiratory rate B. Increase in bowel function C. Decrease in body temperature D. Increase in heart rate

Correct Answer is A

Explanation

A. “Decrease in respiratory rate”: This is the correct answer. Propofol, an anesthetic agent used during procedures like a colonoscopy, can cause respiratory depression, leading to a decrease in the respiratory rate. This is a serious side effect, and the nurse should monitor the client’s respiratory status closely.

B. “Increase in bowel function”: Propofol does not typically cause an increase in bowel function. Its primary effects are sedation and anesthesia, not stimulation of the gastrointestinal system.

C. “Decrease in body temperature”: While anesthesia can sometimes lead to hypothermia due to the body’s reduced ability to regulate temperature, a decrease in body temperature is not a common side effect of propofol specifically.

D. “Increase in heart rate”: Propofol typically has a depressant effect on the body’s systems, so it’s more likely to cause a decrease rather than an increase in heart rate. However, if the client experiences an adverse reaction or anxiety, an increased heart rate could occur. But this is not a typical response to propofol.

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A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following adverse effects should the nurse monitor the client for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

Correct Answer is C

Explanation

A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?

Correct Answer is A

Explanation

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