NRSG 106-Chapter 38-NCLEX Review Questions-Pharmacology Q and A

NRSG 106-Chapter 38-NCLEX Review Questions-Pharmacology Q and A Which laboratory value will the nurse report to the health care provider as a potential adverse response to hydrochlorothiazide? ANSWER Fasting blood glucose level of 140 mg/dL Hydrochlorothiazide can cause hyperglycemia. Normal calcium level is approximately 8.8-10.3 mg/dL; normal sodium level is 135-147 mEq/L; normal chloride level is 95-107 mEq/L, and normal fasting blood glucose should be 60-110 mg/dL. The nurse is assessing a patient who is taking furosemide. The patient's potassium level is 3.4 mEq/L; chloride is 90 mmol/L, and sodium is 140 mEq/L. Based on the nurse's understanding of the laboratory results, what prescribed therapy can the nurse anticipate administering? ANSWER Administer 2 mEq potassium chloride per kilogram per day IV. Furosemide is a potent loop diuretic, resulting in the loss of potassium as well as water, sodium, and chloride. The patient needs chloride replacement. Normal potassium level is 3.5-5.2 mEq/L; normal sodium level is 135-147 mEq/L, and normal chloride level is 95-107 mEq/L. Potassium is never given by rapid infusion. Sodium polystyrene sufonate is used to treat hyperkalemia. There is no clinical indication for calcium replacement. A patient taking spironolactone has been taught about the medication. Which menu selection indicates that the patient understands teaching related to this medication? ANSWER Chicken Spironolactone is a potassium-sparing diuretic that could potentially cause hyperkalemia. Chicken is the only appropriate choice of the foods listed because it is lower in potassium. Potatoes, lima beans, and strawberries are all known to contain high levels of potassium.