A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when standing up quickly from sitting or lying. What is the nurse's best action?

Arrange for the client's potassium levels to be assessed as soon as possible

Teach the client about the blood pressure effects of the medication and relevant safety measures.

Educate the client about the need for bed rest until the body adjusts to the new medication.

Tell the client to withhold the medication until the client can be assessed by the primary health care provider.

Answer and Explanation

The Correct Answer is B

A. While assessing potassium levels is important for clients on diuretics, the immediate concern is the client's dizziness, which indicates a potential issue with blood pressure.

B. Teaching the client about the potential for orthostatic hypotension caused by hydrochlorothiazide and instructing them on safety measures (e.g., standing up slowly) is crucial to prevent falls and address the dizziness.

C. Bed rest is not necessary; the client should be educated about managing dizziness instead.

D. Withholding the medication is not warranted unless directed by a healthcare provider; the focus should be on safety education.

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Free Nursing Study Resources

Correct Answer is ["0.00025"]

Explanation

1 gram = 1,000,000 micrograms

Therefore, 250 micrograms = 250 / 1,000,000 grams = 0.00025 grams

A. hypertension B. liver dysfunction C. peripheral vascular disease D. diverticulitis disease

Correct Answer is C

Explanation

A. Hypertension can affect drug distribution to some extent due to altered perfusion but is not the most significant factor impacting distribution, especially for a local condition like cellulitis.

B. Liver dysfunction primarily affects the metabolism and clearance of drugs rather than their distribution, although it may indirectly influence distribution by altering protein binding.

C. Peripheral vascular disease significantly impacts blood flow to the extremities, which can hinder the distribution of the antibiotic to the affected area (the left leg) where the cellulitis is present, leading to reduced drug efficacy.

D. Diverticulitis disease primarily affects the gastrointestinal system and would not directly influence the distribution of an antibiotic used to treat cellulitis in the leg.

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A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when standing up quickly from sitting or lying. What is the nurse's best action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Convert to equivalents within the metric system. 250 micrograms to grams

Correct Answer is ["0.00025"]

Explanation

The nurse is administering an antibiotic to a client with a diagnosis of cellulitis of the left leg. Which client condition would have the greatest effect on the drug's distribution?

Correct Answer is C

Explanation

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