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 D
Explanation
A. Controlled substances do not have the potential for abuse: This is incorrect, as controlled substances have varying degrees of abuse potential.
B. Controlled substances do not have the potential for dependence: This is incorrect, as many controlled substances have the potential for dependence.
C. Controlled substances do not have the potential for misuse: Controlled substances often have misuse potential, which is why they are regulated.
D. Controlled substances have a Schedule classification: This is correct. Controlled substances are classified into schedules based on their potential for abuse and dependence.
Correct Answer is C
Explanation
A. Digoxin: This medication is used for heart failure and atrial fibrillation, not for constipation.
B. Sildenafil: This medication is used to treat erectile dysfunction, not constipation.
C. Lactulose: Lactulose is an osmotic laxative commonly used to treat constipation. It works by drawing water into the stool to make bowel movements easier.
D. Spironolactone: Spironolactone is a potassium-sparing diuretic used to treat heart failure and fluid retention, not constipation.
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