Question

33 of 50
the nurse is planning to administer hydrochlorothiazide to a client diagnosed with hypertension. the nurse would monitor for which adverse effects related to the administration of this medication?
rationale, strategy, tip
answer options
1 hypouricemia, hyperkalemia
2 increased risk of osteoporosis
3 hypokalemia, hyperglycemia, sulfa allergy
4 hyperkalemia, hypoglycemia, penicillin allergy
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Explanation:

Hydrochlorothiazide is a thiazide diuretic. Thiazide diuretics can cause hypokalemia (low potassium), hyperglycemia (high blood sugar), and there is a risk of sulfa allergy as they have a sulfonamide structure. Option 1 has hyperkalemia (incorrect, thiazides cause hypokalemia), option 2: thiazides are associated with decreased bone density? No, actually loop diuretics may have different effects, and thiazides can cause hypocalciuria but not increased osteoporosis risk as a main adverse effect here. Option 4 has hyperkalemia (wrong) and penicillin allergy (unrelated, thiazides relate to sulfa, not penicillin). So option 3 matches the adverse effects of hydrochlorothiazide.

Answer:

1. Hypokalemia, hyperglycemia, sulfa allergy