The patient is receiving hydrochlorothiazide (HydroDIURIL) as ...

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The patient is receiving hydrochlorothiazide (HydroDIURIL) as well as digoxin (Lanoxin). Which lab result would the nurse recognize as most significant?
 
  1. ALT level of 35 units/L
  2. Sodium level of 140 mEq/L
  3. Potassium level of 2.9 mEq/L
  4. BUN level of 20 mg/dl

Question 2

The patient with hypertension is receiving nefedipine (Procardia XL). The nurse determines that the patient needs additional medication education when the patient selects which menu for breakfast?
 
  1. Whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice
  2. Eggs, whole-wheat toast with butter, Lucky Charms cereal, milk, and grapefruit juice
  3. Eggs and sausage, a biscuit with margarine, coffee with cream, and cranberry juice
  4. Egg and cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice

[tandmlomax84]

Answer to Question 1

Correct Answer: 3
Rationale: Hypokalemia caused by hydrochlorothiazide (HydroDIURIL) may increase digoxin (Lanoxin) toxicity. The normal range for potassium is 3.5 to 5.2 mEq/L. The concern is hypokalemia, not sodium levels; this sodium level is within normal range. The concern is hypokalemia, not liver damage, and this ALT level is within normal range. The concern is hypokalemia, not kidney function, and this BUN is within normal range.

Answer to Question 2

Correct Answer: 2
Rationale: Grapefruit juice in combination with a sustained-release calcium channel blocker could result in rapid toxic overdose, which is a medical emergency. There is no fooddrug interaction with calcium channel blockers and whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice. There is no fooddrug interaction with calcium channel blockers and eggs, sausage, a biscuit with margarine, and cranberry juice. There is no fooddrug interaction with calcium channel blockers and egg and cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice.

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Excellent

[matt95]

Gracias!