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. “Apply pressure to the IV site”: Applying pressure to the IV site is not the first action to take in the case of infiltration. Pressure might be applied after the IV has been removed to prevent further leakage of fluid, but it’s not the initial step.

B. “Slow the infusion rate”: Slowing the infusion rate is not the appropriate action when infiltration has occurred. The infusion should be stopped completely to prevent further infiltration and potential tissue damage.

C. “Elevate the extremity”: Elevating the extremity can help reduce swelling and discomfort caused by the infiltration. This should be done after the infusion has been stopped and the IV catheter has been removed.

D. “Flush the IV catheter”: Flushing the IV catheter is not appropriate when infiltration has occurred. Flushing could potentially worsen the infiltration and increase the risk of tissue damage. The IV catheter should be removed, and a new one should be inserted at a different site if IV access is still needed

A. Insomnia B. Tachypnea C. Metallic taste D. Blurred vision

Correct Answer is D

Explanation

A. “Insomnia”: While insomnia can be a side effect of many medications, it is not typically associated with carbamazepine. Carbamazepine, an anticonvulsant, is used to control seizures and does not commonly cause insomnia.

B. “Tachypnea”: Tachypnea, or rapid breathing, is not a common side effect of carbamazepine. Carbamazepine does not typically affect the respiratory system in this way.

C. “Metallic taste”: A metallic taste is not a common side effect of carbamazepine. This side effect is more commonly associated with certain antibiotics or antifungal medications.

D. “Blurred vision”: This is the correct answer. Blurred vision is a known side effect of carbamazepine. If a client experiences this side effect, they should notify their healthcare provider as it may indicate a need for dosage adjustment or a change in medication. It’s important for clients to be aware of this potential side effect so they can monitor for it and seek medical attention if it occurs.

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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 assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is D

Explanation

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