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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Related Questions
Correct Answer is C
Explanation
A. Calcium carbonate does not treat hypoglycemia. It is used to address low calcium levels, not blood sugar levels.
B. Calcium carbonate is not used to treat hypothyroidism. Hypothyroidism is treated with thyroid hormone replacement therapy (e.g., levothyroxine).
C. Calcium carbonate is commonly used to treat hypocalcemia (low calcium levels in the blood) and to prevent bone loss in conditions such as osteoporosis.
D. Calcium carbonate is not used to treat hyperkalemia (high potassium levels). Treatments for hyperkalemia may include medications like sodium bicarbonate or calcium gluconate, but not calcium carbonate.
Correct Answer is D
Explanation
Rationale
A. Celecoxib is a second-generation NSAID that specifically inhibits COX-2 enzymes and is less likely to cause gastrointestinal side effects compared to first-generation NSAIDs.
B. Morphine sulfate is an opioid analgesic and does not have NSAID properties. It works by binding to opioid receptors to relieve pain.
C. Metformin is an oral medication used to manage blood glucose in type 2 diabetes and is not an NSAID.
D. Ibuprofen is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes, reducing pain, inflammation, and fever.
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