A client is prescribed a thiazide diuretic for the management of hypertension.
The nurse plans to assess the client for allergy to?

This is because digoxin can cause bradycardia (slow heart rate) as a side effect, which can be dangerous and require dose adjustment or discontinuation of the medication.Digoxin helps make the heart beat stronger and with a more regular rhythm by inhibiting sodium-potassium ATPase in cardiac cells.It is used to treat heart failure and atrial fibrillation.

Choice A is wrong because increasing sodium intake can worsen fluid retention and exacerbate heart failure symptoms.Patients with heart failure should follow a low-sodium diet to reduce the workload on the heart.

Choice B is wrong because checking pulse rate for 30 seconds and multiplying result by 2 is not accurate enough to monitor the effects of digoxin.

Patients taking digoxin should check their pulse rate for one full minute before taking each dose and record it daily.If the pulse rate is too fast or too slow, they should contact their provider.

Choice C is wrong because taking digoxin with food may reduce its absorption and effectiveness.Digoxin should be taken on an empty stomach, at least one hour before or two hours after a meal.If nausea occurs, it may be a sign of digoxin toxicity and should be reported to the provider.

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.