The nurse is caring for an 80-year-old patient who has just begun taking a Thiazide diuretic to treat hypertension.
What is an important aspect of care for this patient?
Providing a low potassium diet.
Encouraging increased fluid intake.
Initiating a fall risk protocol.
Increasing exercise and activity.
The Correct Answer is C
Choice A rationale
Thiazide diuretics can lead to hypokalemia, thus a low potassium diet is not recommended. Instead, patients should consume potassium-rich foods to maintain electrolyte balance.
Choice B rationale
Thiazide diuretics increase urine output, which can lead to dehydration. Encouraging increased fluid intake helps to prevent dehydration and maintain proper fluid balance.
Choice C rationale
Thiazide diuretics can cause dizziness or lightheadedness, increasing the risk of falls, especially in elderly patients. Initiating a fall risk protocol is important to ensure patient safety.
Choice D rationale
While exercise is beneficial, thiazide diuretics can cause weakness and dizziness, making it important to assess the patient’s tolerance and monitor their response to physical activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
True, because antitussive agents, which are cough suppressants, can potentially lead to dependence due to their central nervous system effects. This risk is particularly concerning for patients with a history of addiction.
Choice B rationale
False, is incorrect because the potential for addiction does warrant caution when prescribing antitussive agents to patients with a history of addiction. .
Correct Answer is B
Explanation
Choice A rationale
It is not correct to say that women are more prone to adverse effects from medications than men. Adverse effects can vary based on individual responses, and gender is not the sole determinant.
Choice B rationale
Women of reproductive age are often excluded from early-phase drug trials due to the potential risks that experimental drugs could pose to developing fetuses. The reproductive risk needs to be carefully managed to avoid harm.
Choice C rationale
While it is true that drugs can affect women differently than men, this answer does not directly address the specific reason why women are excluded from Phase 1 studies, which is primarily due to the potential risks to reproductive health.
Choice D rationale
This is incorrect because drugs are not tested only on men because they are stronger. This statement is not scientifically accurate and does not reflect the principles of clinical trial design.
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