A nurse is providing information to a client who has a new prescription for hydrochlorothiazide (Hydro Diuril). Which of the following information should the nurse include?
Expect increased swelling of the ankles.
Fluid intake should be limited
Take this medication at bedtime.
Take this medication with food.
The Correct Answer is D
A. Hydrochlorothiazide does not typically cause increased swelling of the ankles. It is a diuretic and helps reduce fluid retention.
B. Fluid intake should not be restricted unless specifically indicated. Diuretics like hydrochlorothiazide increase urine output, and adequate fluid intake is generally encouraged to prevent dehydration.
C. Taking hydrochlorothiazide at bedtime is not recommended due to the increased urination, which may disrupt sleep.
D. Taking this medication with food can help prevent gastrointestinal upset, which is a common side effect of hydrochlorothiazide.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Insomnia is not a serious adverse effect of ethinyl estradiol and drospirenone (Yasmin). Common side effects may include nausea or headaches, but insomnia is not a red flag.
B. This could indicate deep vein thrombosis (DVT), a serious complication associated with hormonal contraceptives like Yasmin. The nurse should educate the patient to report these symptoms immediately.
C. Sedation is not a common or serious adverse effect of Yasmin. Side effects are more commonly related to gastrointestinal or cardiovascular systems.
D. Indigestion is not typically associated with a serious complication of Yasmin. Some mild gastrointestinal discomfort may occur, but it is not a major concern unless it is severe.
Correct Answer is C
Explanation
A. Mannitol is an osmotic diuretic, and although it can cause dehydration and electrolyte imbalances, it does not specifically cause hypokalemia as a primary side effect.
B. Spironolactone is a potassium-sparing diuretic, so it is less likely to cause hypokalemia. In fact, it can cause hyperkalemia.
C. Furosemide is a loop diuretic that increases urine output and can lead to potassium loss, causing hypokalemia. This is a common complication of loop diuretics.
D. Metformin is an oral antidiabetic medication and is not a diuretic, so it is not associated with hypokalemia.
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