Which electrolyte imbalance would the nurse expect to find in a client receiving acetazolamide?

Metabolic acidosis

Metabolic alkalosis

Hyperbicarbontemia

Hypercalcemia

Answer and Explanation

The Correct Answer is A

A. Metabolic acidosis: Acetazolamide is a carbonic anhydrase inhibitor that promotes the excretion of bicarbonate, leading to a decrease in bicarbonate levels and resulting in metabolic acidosis.

B. Metabolic alkalosis: Acetazolamide causes a decrease in bicarbonate, which would lead to acidosis, not alkalosis.

C. Hyperbicarbonatemia: Acetazolamide reduces bicarbonate reabsorption, leading to a decrease in bicarbonate levels, not an increase.

D. Hypercalcemia: Acetazolamide does not cause hypercalcemia; it affects acid-base balance and bicarbonate levels.

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Correct Answer is A

Explanation

A. Increase fluid intake to prevent dehydration: Oxybutynin can cause dry mouth and other anticholinergic effects that may lead to dehydration. Patients should increase fluid intake to prevent dehydration.

B. Avoid high-fiber foods: This is not necessary for oxybutynin use, and high-fiber foods do not directly interfere with the medication.

C. Expect to experience dizziness and stop taking the medication if it occurs: Dizziness can occur, but patients should consult their healthcare provider rather than discontinuing the medication abruptly.

D. Take the medication on an empty stomach: Oxybutynin can be taken with or without food, and there is no specific instruction to take it on an empty stomach.

A. Perform a bladder scan to check for urinary retention B. Start the client on an increased fluid intake regimen C. Notify the healthcare provider immediately to order a urine culture and initiate antibiotic treatment D. Administer acetaminophen to reduce the fever

Correct Answer is C

Explanation

A. Perform a bladder scan to check for urinary retention: While urinary retention may be a concern, the client's symptoms (confusion, fever, foul-smelling urine) indicate a possible UTI, which should be addressed first.

B. Start the client on an increased fluid intake regimen: While fluid intake is important, the client needs immediate medical attention to diagnose and treat a possible infection.

C. Notify the healthcare provider immediately to order a urine culture and initiate antibiotic treatment: Correct. The client's symptoms suggest a urinary tract infection, which requires prompt diagnosis and treatment with antibiotics.

D. Administer acetaminophen to reduce the fever: While fever management is important, it does not address the underlying cause of the symptoms, which is likely a UTI.

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Which electrolyte imbalance would the nurse expect to find in a client receiving acetazolamide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is an important teaching point for a patient prescribed oxybutynin?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

Which of the following is a common use for doxazosin in the treatment of benign prostatic hyperplasia (BPH)?

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Which electrolyte imbalance would the nurse expect to find in a client receiving acetazolamide?

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