The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

I will be sure to avoid potassium while taking this medication.

I should take the medication in the morning so I am not up all night going to the bathroom.

I need to be sure to take this pill on an empty stomach.

If my blood pressure is really high, I will take a second dose.

Answer and Explanation

The Correct Answer is B

A. I will be sure to avoid potassium while taking this medication.: Thiazide diuretics can cause potassium loss, so patients are often advised to monitor their potassium levels and may need to increase their intake, not avoid it.
B. I should take the medication in the morning so I am not up all night going to the bathroom.: This is correct. Taking diuretics in the morning helps prevent nocturia (frequent urination at night), which can disrupt sleep.
C. I need to be sure to take this pill on an empty stomach.: Thiazide-like diuretics do not require an empty stomach for effectiveness; they can be taken with or without food.
D. If my blood pressure is really high, I will take a second dose.: This is incorrect and potentially dangerous. Medication dosing should be followed as prescribed, and adjustments should only be made by a healthcare provider.

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Correct Answer is A

Explanation

A. "This medication will help lower my cholesterol.": Statins are primarily used to lower cholesterol levels, which helps reduce the risk of cardiovascular diseases including strokes.
B. "This medication can help protect my brain from a stroke.": While statins indirectly help reduce the risk of a stroke by lowering cholesterol, they do not directly protect the brain from stroke.
C. "This medication will help stop plaques in my blood vessels.": Statins can reduce the progression of atherosclerosis by lowering cholesterol, but they do not stop plaque formation completely.
D. "Muscle pains are normal for the first few weeks.": Muscle pain (myopathy) can be a side effect of statins and should be reported to a healthcare provider, as it can indicate a serious condition like rhabdomyolysis, not something that should be considered normal.

A. Heberden nodes B. Early morning stiffness C. Pain increasing by activity D. Autoimmune disease E. Low-grade fever

Correct Answer is ["B","D","E"]

Explanation

A. Heberden nodes: These are bony swellings commonly seen in osteoarthritis, particularly affecting the distal interphalangeal joints of the fingers, not typically associated with rheumatoid arthritis (RA).
B. Early morning stiffness: RA is characterized by prolonged morning stiffness lasting more than 30 minutes, which improves with activity, distinguishing it from the short-lived stiffness seen in osteoarthritis.
C. Pain increasing by activity: This is more characteristic of osteoarthritis, where joint pain typically worsens with use and activity. RA pain often improves with movement as the joints "warm up."
D. Autoimmune disease: RA is an autoimmune condition where the body's immune system attacks its own tissues, leading to inflammation and joint damage.
E. Low-grade fever: Low-grade fever can be a systemic symptom of RA due to the autoimmune inflammatory process, which is not a feature of osteoarthritis.

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The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

Correct Answer is A

Explanation

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Correct Answer is ["B","D","E"]

Explanation

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