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 D
Explanation
A) This option is incorrect. Visual disturbances are more commonly associated with hypertensive crises, not arterial damage.
B) This option is incorrect. Peripheral neuropathy is not a common complication of hypertension.
C) This option is incorrect. Peripheral edema is often associated with heart failure, not arterial damage resulting from hypertension.
D) Correct answer. Atherosclerosis, the buildup of plaque in the arteries, is a common complication of uncontrolled hypertension. Hypertension can cause chronic damage to the blood vessel walls, promoting the development of atherosclerotic plaques, which further narrows and stiffens the arteries.
Correct Answer is A
Explanation
A) Correct answer. Occasional nosebleeds are typically unrelated to hypertension and are commonly caused by dry air, nasal irritation, or other factors.
B) This option is incorrect. While nosebleeds can occur in individuals with hypertension, they are not specific to hypertension and do not necessarily indicate worsening of the condition.
C) This option is incorrect. Nosebleeds are not an early warning sign of hypertensive crisis. Severe headache, shortness of breath, and neurological symptoms are more indicative of hypertensive crisis.
D) This option is incorrect. Nosebleeds, in isolation, are not usually indicative of severe hypertension. However, chronic uncontrolled hypertension can lead to target organ damage and potentially life-threatening complications.
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