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 B
Explanation
A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.
Correct Answer is C
Explanation
A. Alendronate should be taken on an empty stomach with a full glass of water, at least 30 minutes before any food or other medications. This ensures better absorption.
B. Alendronate should not be taken with antacids, as they can interfere with its absorption. The patient should not lie down immediately after taking it to prevent esophageal irritation.
C. This is the correct recommendation. Alendronate should be taken in the morning, on an empty stomach, with a full glass of water. The patient should then remain upright for at least 30 minutes.
D. Alendronate tablets should be swallowed whole. Crushing or chewing the tablet may increase the risk of esophageal irritation and reduce its effectiveness.
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