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A nurse is caring for a group of clients. The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)

A.

A client taking prednisone.

B.

A client taking torsemide.

C.

A client taking polystyrene sulfonate.

D.

A client taking spironolactone.

E.

A client taking hydrochlorothiazide.

Question Solution

Correct Answer : A,B,C,E

Choice A rationale


Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.


Choice B rationale


Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.


Choice C rationale


Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.


Choice D rationale


A client taking spironolactone does not require monitoring for hypokalemia because spironolactone is a potassium-sparing diuretic. It helps the body retain potassium, so it is more likely to cause hyperkalemia (high potassium levels) than hypokalemia.


Choice E rationale


Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.


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View Related questions

Correct Answer is ["A","B","C","D","F"]

Explanation

Choice A rationale

Assessing the client’s gag reflex before offering oral intake is essential to prevent aspiration. The gag reflex may be diminished after moderate sedation and the use of local anesthetics during bronchoscopy.

Choice B rationale

Listening to the client’s breath sounds is important to detect any abnormalities, such as wheezing, crackles, or decreased breath sounds, which could indicate complications like bronchospasm or pneumothorax.

Choice C rationale

Monitoring the client’s oxygen saturation is crucial to ensure adequate oxygenation and detect any signs of respiratory distress or hypoxemia following the procedure.

Choice D rationale

Monitoring the client for manifestations of bleeding is necessary because bronchoscopy can cause trauma to the airways, leading to bleeding. Signs of bleeding may include hemoptysis or a drop in hemoglobin levels.

Choice E rationale

Assessing the client’s puncture site is not applicable in this context, as bronchoscopy does not involve a puncture site. This option is incorrect.

Choice F rationale

Observing the client for manifestations of a pneumothorax is important because bronchoscopy can occasionally cause a pneumothorax, especially if a biopsy is performed. Signs of pneumothorax include sudden chest pain, dyspnea, and decreased breath sounds on the affected side. .

Correct Answer is C

Explanation

Choice A rationale

Rifampin is an antibiotic used to treat tuberculosis and other bacterial infections. It does not have a known interaction with St. John’s wort.

Choice B rationale

Furosemide is a diuretic used to treat fluid retention and high blood pressure. It does not have a known interaction with St. John’s wort.

Choice C rationale

Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John’s wort can interact with SSRIs like citalopram, potentially leading to serotonin syndrome, a serious condition caused by excessive levels of serotonin in the brain.

Choice D rationale

Allopurinol is used to treat gout and kidney stones. It does not have a known interaction with St. John’s wort.

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