Easy

A patient taking hydrochlorothiazide reports unusual muscle cramps and weakness. Which laboratory result should the nurse review?

Correct answer: A. Serum potassium level

  • A. Serum potassium level
  • B. Serum amylase level
  • C. Platelet count
  • D. Thyroid-stimulating hormone level

Explanation

Hydrochlorothiazide can increase urinary potassium loss, so hypokalaemia may cause cramps, weakness and dysrhythmias. Platelets, amylase and thyroid-stimulating hormone are not the usual first monitoring tests for this adverse effect.

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About Cardiovascular and Respiratory Drugs

Cardiovascular and respiratory drugs include antihypertensives, diuretics, antianginal agents, antiarrhythmics, cardiac glycosides, anticoagulants, bronchodilators, corticosteroids and cough medicines. Questions focus on mechanisms, indications, contraindications, toxicity and monitoring, especially the difference between drugs that reduce blood pressure, improve cardiac output or open narrowed airways.

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