When presenting about caring for patients who are receiving diuretic therapy, the nurse should explain that which of the following medications can put patients at risk for hyperkalemia?

Hydrochlorothiazide

Spironolactone

Furosemide

Mannitol

Answer and Explanation

The Correct Answer is B

Choice A reason: Hydrochlorothiazide is a thiazide diuretic that typically causes potassium loss, not hyperkalemia.

Choice B reason: Spironolactone is a potassium-sparing diuretic, which can lead to an increase in potassium levels, potentially causing hyperkalemia.

Choice C reason: Furosemide is a loop diuretic that usually results in potassium loss, not hyperkalemia.

Choice D reason: Mannitol is an osmotic diuretic that does not typically cause hyperkalemia.

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Correct Answer is B

Explanation

Choice A reason: Hypoactive bowel sounds are not typically associated with hypocalcemia.

Choice B reason: Tingling of the lips, also known as paresthesia, is a common symptom of hypocalcemia due to the eﬀect of low calcium levels on nerve function.

Choice C reason: Decreased deep tendon reﬂexes are more commonly associated with hypercalcemia, not hypocalcemia.

Choice D reason: Skeletal muscle weakness can be a symptom of severe hypocalcemia, but tingling of the lips is a more immediate and common finding.

A. Metabolic acidosis B. Respiratory acidosis C. Metabolic alkalosis D. Respiratory alkalosis

Correct Answer is A

Explanation

Choice A reason: Metabolic acidosis is characterized by a low pH and a normal or low HCO3. In this case, the pH is 7.25, which is below the normal range of 7.35-7.45, and the HCO3 is 22, which is at the lower end of the normal range of 22-26 mEq/L, indicating metabolic acidosis.

Choice B reason: Respiratory acidosis is characterized by a high CO2 level. However, in this scenario, the CO2 is 40, which is within the normal range of 35-45 mmHg, ruling out respiratory acidosis.

Choice C reason: Metabolic alkalosis would present with a high pH and a high HCO3 level. Since the pH is low, metabolic alkalosis is not the correct answer.

Choice D reason: Respiratory alkalosis is characterized by a low CO2 level and a high pH. Given that the CO2 is normal and the pH is low, respiratory alkalosis is not the condition indicated by these ABG results.

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When presenting about caring for patients who are receiving diuretic therapy, the nurse should explain that which of the following medications can put patients at risk for hyperkalemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a patient who has hypocalcemia. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A patient's ABG results came back with the following values: pH 7.25, CO2 40, HCO3 22. How would you, as the nurse, interpret these results?

Correct Answer is A

Explanation

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