Which laboratory result may be a consequence of therapy with a thiazide diuretic?
A. Serum glucose level of 58 mg/dL
B. Serum potassium level of 5.3 mEq/L
C. Serum sodium level of 135 mEq/L
D. Serum uric acid level of 10.4 mg/dL
Ans: D. Serum uric acid level of 10.4 mg/dL
Explanation: Hyperuricemia is a side effect of thiazide diuretics. Normal uric acid levels typically range from 3.6 to 8.5 mg/dL. Hyperglycemia, not hypoglycemia, and hypokalemia, not hyperkalemia, are side effects of thiazides. A serum sodium of 135 mEq/L is a normal value.
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The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination. When striking the Achilles heel and quadriceps muscle, the nurse is unable to elicit a reflex
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A 76-year-old male client is brought to the clinic by his daughter. The daughter states that her father has had two transient ischemic attacks (TIAs) in the past week
The physician orders carotid angiography, and the report reveals that the carotid artery has been narrowed by atherosclerotic plaques. What treatment option does the nurse expect the physician to offer this client to increase blood flow to the brain? Select all that apply. A) Balloon angioplasty of the carotid artery followed by stent placement B) Removal of the carotid artery C) Percutaneous transluminal coronary artery angioplasty D) Carotid endarterectomy
Of all the assessments the nurse has made on the new patient, those that may indicate heart failure are: (Select all that apply.)
a. flushed skin. b. jugular distention. c. weight gain but eating very little. d. diminished pedal pulses. e. wearing loose house shoes rather than street shoes.
Which of the following best describes ideal primary health care?
a. Based on a multidisciplinary group of health care providers that work as a team b. Essential care available to all community members, which encourages self-management c. Focused on health promotion and disease prevention for everyone enrolled in the health center d. Local efforts to meet the Declaration of Alma Ata principles