A client recently diagnosed with hypertension is prescribed a thiazide diuretic. Which condition below would be a contraindication associated with thiazide diuretics?

Choice A reason:

Chewing sublingual medication is inappropriate as it is designed to dissolve under the tongue for rapid absorption into the bloodstream. Chewing it would alter the intended administration route and reduce its effectiveness.

Choice B reason:

Allowing the medication to dissolve completely under the tongue is correct and ensures that it is absorbed quickly into the bloodstream. This method allows the active ingredient to bypass the digestive system and liver, providing faster therapeutic effects.

Choice C reason:

While it is essential to follow any specific dietary instructions for medications, drinking juice or water typically does not interfere with sublingual medications. This statement does not accurately reflect the correct administration technique.

Choice D reason:

Placing sublingual medication between the cheek and gum is incorrect as this method is intended for buccal medications, not sublingual ones. Sublingual medications should be placed under the tongue to dissolve properly.

Choice A reason: Migraine headaches, while uncomfortable, are not typically associated with atorvastatin use and do not usually indicate a severe or urgent reaction. Immediate reporting is not necessary unless there are other concerning symptoms.

Choice B reason: Hyperglycemia can be a side effect of statin use but is generally managed through monitoring and medication adjustments. It does not typically require immediate reporting unless blood sugar levels are extremely high and unmanageable.

Choice C reason: This is the correct answer. Dark-red urine is a potential sign of rhabdomyolysis, a serious condition that can occur with statin use, where muscle tissue breaks down and releases proteins into the bloodstream. This condition requires immediate medical attention to prevent kidney damage and other complications.

Choice D reason: Night sweats are not a common side effect of atorvastatin and are generally not a cause for immediate concern. They may be related to other underlying conditions that should be investigated, but they do not require urgent reporting in relation to atorvastatin use.