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A nurse is caring for a client who has been taking lisinopril for several months. The nurse should plan to check which of the following laboratory values to monitor for adverse effects of the medication?

A.

Calcium.

B.

Sodium.

C.

Potassium.

D.

Magnesium.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Monitoring calcium levels is not typically necessary for patients taking lisinopril, as it does not significantly affect calcium levels.

 

Choice B rationale

 

Sodium levels are not commonly affected by lisinopril, so routine monitoring is not required.

 

Choice C rationale

 

Lisinopril can cause hyperkalemia (high potassium levels), so monitoring potassium levels is crucial to prevent complications.

 

Choice D rationale

 

Magnesium levels are not significantly impacted by lisinopril, so routine monitoring is not necessary.

 


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View Related questions

Correct Answer is ["A","E"]

Explanation

Choice A rationale


Muscle weakness is a common symptom of hypokalemia due to decreased potassium levels affecting muscle function.


Choice B rationale


Hyperactive bowel sounds can indicate hypokalemia because potassium is essential for normal gastrointestinal motility. Low potassium levels can lead to increased activity in the intestines, resulting in hyperactive bowel sounds.

Choice C rationale


Tingling of fingers, or paresthesia, can be a symptom of hypokalemia, as low potassium levels may affect nerve conduction. This results in abnormal sensations like tingling or numbness.

Choice D rationale


Peaked T waves are more commonly associated with hyperkalemia rather than hypokalemia. Therefore, this option would not indicate hypokalemia. However, a nurse should be vigilant about monitoring potassium levels as both conditions can lead to significant cardiovascular effects.


Choice E rationale


Fatigue is another symptom of hypokalemia as low potassium levels can impair cellular function and energy production.

Correct Answer is ["C","E"]

Explanation

Choice A rationale

Monitoring glucose levels is not typically necessary for patients receiving gentamicin, as it does not significantly affect glucose metabolism.

Choice B rationale

Prothrombin time is not commonly affected by gentamicin, so routine monitoring is not required.

Choice C rationale

Serum creatinine levels should be monitored to assess kidney function, as gentamicin can cause nephrotoxicity.

Choice D rationale

Cardiac enzymes are not typically affected by gentamicin, so routine monitoring is not necessary.

Choice E rationale

Monitoring WBC count is important to detect any signs of infection or bone marrow suppression, which can occur with gentamicin use.

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