When teaching a patient who is taking thiazide diuretics, the nurse will encourage the patient to increase the intake of which electrolyte?

Potassium

Magnesium

Calcium

Sodium

Answer and Explanation

The Correct Answer is A

A.   Thiazide diuretics can lead to hypokalemia (low potassium levels) as they increase potassium excretion in the urine. Therefore, increasing potassium intake is crucial to prevent hypokalemia and its associated complications, such as arrhythmias.
B.   While magnesium levels can also be affected by diuretics, it's not as significant as potassium depletion.
C.   Thiazide diuretics can actually increase calcium reabsorption in the kidneys, leading to potential hypercalcemia. Therefore, increasing calcium intake is not recommended.
D.   Thiazide diuretics are used to reduce sodium and water retention, so increasing sodium intake would counteract their effect.

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Correct Answer is A

Explanation

A. Kidney disease is one of the most common causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention or increased renin production.
B. While pain can cause temporary increases in blood pressure due to the body's stress response, it is not an identifiable cause of secondary hypertension. Pain-related hypertension is usually acute and resolves once the pain is managed, rather than being a chronic condition.
C. Glaucoma is an eye condition characterized by increased intraocular pressure, but it is not a cause of hypertension. Although systemic hypertension can affect eye health, glaucoma itself does not cause secondary hypertension. Therefore, this is not an identifiable cause.
D. Anemia does not directly cause secondary hypertension. While severe anemia can sometimes result in compensatory mechanisms that might elevate blood pressure, it is not a recognized or direct cause of secondary hypertension. Thus, it is not a primary concern in this context.

A. ACE inhibitors B. Aldosterone receptor antagonists C. Beta-adrenergic blocking agents D. Thiazide diuretics

Correct Answer is C

Explanation

A. ACE inhibitors can cause a dry cough in some patients, but this is not typically a severe issue for patients with asthma.
B. These medications do not have a significant impact on respiratory function and are generally safe for patients with asthma.
C. Beta-blockers can constrict the airways, making them less suitable for patients with asthma. They can worsen asthma symptoms, trigger bronchospasm, and reduce the effectiveness of beta-agonist bronchodilators.
D. Thiazide diuretics do not have a significant impact on respiratory function and are generally safe for patients with asthma.

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When teaching a patient who is taking thiazide diuretics, the nurse will encourage the patient to increase the intake of which electrolyte?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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