A client is prescribed a thiazide diuretic for the management of hypertension.
The nurse plans to assess the client for allergy to?
Iodine.
Latex.
Shellfish.
Sulphur.
The Correct Answer is D
Thiazide diuretics are sulfa-containing drugs and can cause allergic reactions in patients who are sensitive to sulfa compounds. These reactions can include headaches, rash, hives, swelling of the mouth and lips, wheezing or trouble breathing, asthma attack, and anaphylaxis.
Choice A is wrong because iodine is not a component of thiazide diuretics and is not related to sulfa allergy.
Choice B is wrong because latex is not a component of thiazide diuretics and is not related to sulfa allergy.
Choice C is wrong because shellfish is not a component of thiazide diuretics and is not related to sulfa allergy.
Shellfish allergy is usually caused by a protein called tropomyosin, not by iodine or sulfa compounds.
Thiazide diuretics are drugs that inhibit the reabsorption of sodium and water in the distal convoluted tubule of the kidney, leading to increased urine output. They are used to treat hypertension, edema, heart failure, and some kidney diseases. Some examples of thiazide diuretics are hydrochlorothiazide, chlorthalidone, and indapamide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
These are all measures that can help prevent urinary tract infection (UTI), which is an infection in any part of the urinary system, including kidneys, ureters, bladder, and urethra.
Choice A is wrong because holding the urge to urinate as much as possible can allow bacteria to grow in the bladder and cause infection.It is better to urinate frequently and completely to flush out any germs that may enter the urinary tract.
Choice B is correct because emptying the bladder before and after sexual intercourse can help remove any bacteria that may have been introduced during sex.Sexual activity is one of the common causes of UTI, especially in women.
Choice C is correct because taking antibiotics as ordered can help treat an existing UTI or prevent a recurrent one.Antibiotics are the first line of treatment for UTI and they work by killing the bacteria that cause the infection.
Choice D is correct because female patients should wipe from front to back after using the bathroom.This can prevent bacteria from the anus or fecal matter from spreading to the urethra and causing infection.
Choice E is correct because drinking 8 to 10 glasses of water a day can help dilute the urine and flush out any bacteria that may be present in the urinary tract.Water also helps maintain a healthy urinary system by keeping it hydrated and functioning well.
Correct Answer is A
Explanation
Terazosin is a medication that belongs to the class of alpha-adrenergic blockers, which relax the muscles in the prostate and bladder neck, making it easier to urinate.It also lowers blood pressure by relaxing the veins and arteries, allowing blood to flow more easily.Therefore, terazosin can cause dizziness or fainting, especially when getting up from a sitting or lying position.To prevent this, the patient should rise slowly and avoid standing for long periods or becoming overheated.
Choice B is wrong because terazosin is not a cure for benign prostatic hyperplasia (BPH), but a symptom reliever.Stopping the medication may cause the urinary problems to return or worsen.
The patient should continue taking terazosin as prescribed by the doctor, unless advised otherwise.
Choice C is wrong because decreasing fluid intake may increase the risk of dehydration, urinary tract infections, bladder stones, and kidney problems.
The patient should drink enough fluids to stay hydrated and flush out the urinary system.
Choice D is wrong because grapefruit juice may interact with terazosin and increase its blood levels, leading to more side effects such as low blood pressure, drowsiness, or headache.
The patient should avoid drinking grapefruit juice while taking terazosin, or consult the doctor before doing so.
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