A nurse is providing an in-service for hydrochlorothiazide (Hydro Diuril). Which of the following statements are TRUE regarding hydrochlorothiazide? (Select All That Apply).
The medication works in the distal tubule to block the reabsorption of sodium and chloride,
This medication is the first choice to treat essential hypertension
A complication of this medication is urinary retention
A complication of this medication is opioid toxicity
Correct Answer : A,B
A. Hydrochlorothiazide is a thiazide diuretic that works in the distal convoluted tubule of the kidney. It inhibits the reabsorption of sodium and chloride, leading to increased excretion of water, sodium, and chloride.
B. Hydrochlorothiazide is often the first-line treatment for hypertension because it helps reduce blood pressure through diuresis (increased urine output), which reduces fluid volume in the body.
C. Urinary retention is not a known complication of hydrochlorothiazide. Instead, it may cause frequent urination due to its diuretic effect.
D. Hydrochlorothiazide does not interact with opioids in a way that would cause opioid toxicity. It primarily affects sodium and water balance in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 0.9% Sodium chloride (normal saline) is an isotonic solution, meaning it has a similar osmolality to the blood and will not cause fluid shifts into or out of cells.
B. This is a hypotonic solution, which has a lower osmolality than blood and can cause water to move into cells, potentially leading to cell swelling.
C. This solution is considered isotonic, but it has dextrose, which is metabolized quickly in the body, potentially making the solution hypotonic after glucose is used.
D. This is incorrect, as 0.9% Sodium Chloride is an isotonic solution.
Correct Answer is B
Explanation
To calculate the infusion rate: Total volume = 500 mL
Total time = 2 hours To find the mL/hr:
500 mL ÷ 2 hours = 250 mL/hr
Therefore, the correct answer is B. 200 mL/hr.
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