NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide?
Correct Answer: C
Rationale: The correct answer is a client with diabetes mellitus, type II. Thiazide diuretics like hydrochlorothiazide can cause metabolic abnormalities, including elevated blood glucose levels. This increase is linked to diuretic-induced potassium deficiency, which reduces insulin secretion, leading to higher plasma glucose levels. Thiazides are commonly used in clients with renal impairment and hypertension. Moreover, thiazides decrease calcium excretion, reducing the risk of renal calculi, so it is not contraindicated for clients with kidney stones.
Therefore, clients with diabetes mellitus, type II should avoid therapy with hydrochlorothiazide due to the potential adverse effects on blood glucose levels.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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