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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pinpoint pupils, coma, and respiratory depression: These are signs of opioid overdose, not abstinence syndrome.
B. Sedation, fixed pupils, and nausea: This may be associated with opioid overdose, not withdrawal.
C. Fever, hypertension, vomiting, anxiety, and abdominal cramping: These are classic symptoms of abstinence syndrome (withdrawal symptoms) after naloxone administration.
D. Hyperventilation, depression, and constipation: These are not typical signs of abstinence syndrome.
Correct Answer is B
Explanation
A. Levothyroxine is used to treat hypothyroidism, not hyperglycemia.
B. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism, a condition where the thyroid does not produce enough thyroid hormone.
C. Levothyroxine is not used to treat hypokalemia. Hypokalemia would require potassium supplementation or treatment of the underlying cause.
D. Levothyroxine is not used for the treatment of hypoglycemia.
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