Nokea
The client is on hydrochlorothiazide and digoxin. What effect can the nurse expect?
- A. Hydrochlorothiazide increases digoxin levels.
- B. Hydrochlorothiazide decreases digoxin levels.
- C. Hydrochlorothiazide decreases potassium, increasing the risk of digoxin toxicity.
- D. Digoxin can increase the effectiveness of hydrochlorothiazide.
Correct Answer: C
Rationale: Step-by-step rationale:
1. Hydrochlorothiazide is a diuretic that can cause hypokalemia.
2. Digoxin toxicity is more likely with low potassium levels.
3. Therefore, hydrochlorothiazide decreasing potassium levels can increase the risk of digoxin toxicity.
Summary:
A: Incorrect. Hydrochlorothiazide does not increase digoxin levels.
B: Incorrect. Hydrochlorothiazide does not decrease digoxin levels.
C: Correct. Hydrochlorothiazide can decrease potassium, increasing digoxin toxicity risk.
D: Incorrect. Digoxin does not increase the effectiveness of hydrochlorothiazide.
You may also like to solve these questions
Which of the following should the nurse monitor for clients with aneurysms to determine the signs of hemorrhage or dissection?
- A. Nurse monitors for swelling and heaviness of the legs.
- B. Nurse monitors for chest pain and elevated LDL levels.
- C. Nurse monitors the BP, hourly urine output, skin color, and level of consciousness.
- D. Nurse monitors for mild fever and swelling of extremities.
Correct Answer: C
Rationale: Monitoring vital signs, urine output, and neurological status is critical to detect early signs of aneurysm complications.
Which of the following is a nursing intervention to ensure that the client is free from injury caused by falls?
- A. Nurse monitors for chest pain and elevated LDL levels.
- B. Nurse monitors for swelling and heaviness of legs.
- C. Nurse monitors postural changes in BP.
- D. Nurse monitors temperature for mild fever.
Correct Answer: C
Rationale: Monitoring postural BP changes helps identify orthostatic hypotension, reducing fall risk.
A patient is admitted to the hospital for a carotid angiogram with stent placement. The patient's spouse states, 'I don't want my spouse to find out there is a risk of a stroke connected with this procedure because they won't sign the consent form.' The cardiac-vascular nurse's most appropriate action is to:
- A. assess the patient's level of understanding of the risks, benefits, and alternatives.
- B. assure the patient's spouse that the risk of stroke is minimal.
- C. offer the patient emotional support and reinforce the benefits of the procedure.
- D. perform a neurologic assessment to establish a baseline.
Correct Answer: A
Rationale: It is essential to ensure the patient fully understands the risks and benefits before consenting.
Which exercise would be most therapeutic for Mrs. T., who has peripheral vasodilatation?
- A. Jogging 1 mile each day
- B. Buerger-Allen exercises
- C. Sit-ups, three times a day
- D. Bicycle riding
Correct Answer: B
Rationale: Buerger-Allen exercises promote circulation and are beneficial for peripheral vascular conditions.
A toddler requires supplemental oxygen therapy for a cyanotic heart defect. In planning for home care, the nurse would discuss which of the following with the parents?
- A. The need to maintain the child on bedrest.
- B. Means of promoting mobility while meeting the need for supplemental oxygen.
- C. Symptoms of oxygen toxicity.
- D. How to draw blood for blood gases.
Correct Answer: B
Rationale: The correct answer is B because promoting mobility while meeting the need for supplemental oxygen is crucial for the toddler's development and overall well-being. Bedrest (A) is not recommended for a toddler unless medically necessary. Discussing symptoms of oxygen toxicity (C) is important but not the priority in this case. Drawing blood for blood gases (D) is a medical procedure that should be performed by healthcare professionals, not parents. Prioritizing mobility and oxygen therapy helps maintain the child's physical health and supports their growth and development.