A nurse is caring for a client with hypertension who is prescribed a thiazide diuretic. Which instruction should the nurse include when educating the client about this medication?
"Take the diuretic at night to promote diuresis while you sleep and reduce daytime fluid loss."
"Increase your potassium intake through foods or supplements since diuretics may cause low potassium levels."
"Monitor your blood glucose regularly as thiazide diuretics can increase blood sugar levels."
"Expect frequent urination during the initial days of starting the medication, which will normalize over time."
The Correct Answer is B
A) This option is incorrect. Thiazide diuretics are best taken in the morning to prevent nighttime urination and disturbances in sleep.
B) Correct answer. Thiazide diuretics can cause potassium loss in some individuals, so it is essential to monitor potassium levels and, if necessary, increase potassium intake through dietary sources or supplements.
C) This option is incorrect. Thiazide diuretics are not known to significantly affect blood glucose levels.
D) This option is incorrect. Thiazide diuretics may cause increased urination initially, but this effect usually diminishes over time as the body adjusts to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This option is incorrect. Increased appetite and weight gain are not typical manifestations of hypertensive encephalopathy.
B) Correct answer. Hypertensive encephalopathy is characterized by visual disturbances, severe headaches, and neurological symptoms resulting from uncontrolled hypertension and cerebral edema.
C) This option is incorrect. Pain and tingling in the extremities are not directly associated with hypertensive encephalopathy.
D) This option is incorrect. Reduced urine output and fatigue are more likely related to kidney damage and heart failure, respectively, rather than hypertensive encephalopathy.
Questions
Correct Answer is B
Explanation
A) This option is incorrect. While salt substitutes are often low in sodium, they may contain other minerals like potassium. Using them freely without considering their composition can have adverse effects.
B) Correct answer. Salt substitutes often contain potassium chloride as a replacement for sodium chloride. Clients taking certain medications, especially potassium-sparing diuretics or potassium supplements, should use salt substitutes with caution to avoid excessive potassium intake.
C) This option is incorrect. Some salt substitutes can effectively reduce sodium intake and contribute to blood pressure management when used appropriately.
D) This option is incorrect. Replacing regular table salt with salt substitutes may lead to increased potassium intake, which can be problematic for individuals taking medications that affect potassium levels. The client should use salt substitutes with caution and consult their healthcare provider if they have any concerns.
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