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A client with hypertension is prescribed hydrochlorothiazide (HCTZ). Which of the following statements by the client indicates an understanding of the medication?

“I will take this medication at bedtime.”

“I will stop taking this medication if my blood pressure becomes normal.”

“I will report any signs of a persistent cough.”

“I will take this medication only when I have symptoms of high blood pressure.”.

None of the above

Answer and Explanation

The Correct Answer is E

All of the statements by the client indicate a lack of understanding of the medication.

Here is why:

Choice A is wrong because hydrochlorothiazide (HCTZ) is a diuretic (water pill) that increases the amount of urine produced and excreted by the kidneys. Taking this medication at bedtime may cause frequent urination at night and disrupt the sleep cycle. It is recommended to take HCTZ in the morning or early afternoon.

Choice B is wrong because HCTZ is prescribed to treat high blood pressure (hypertension), which is a chronic condition that requires long-term management. Stopping the medication abruptly may cause a rebound increase in blood pressure and increase the risk of complications such as stroke, heart attack, or kidney failure. The client should continue taking HCTZ as directed by the doctor, even if the blood pressure becomes normal.

Choice C is wrong because a persistent cough is not a common side effect of HCTZ. A cough may be a sign of an allergic reaction, a respiratory infection, or another condition that needs medical attention. HCTZ may cause other side effects such as nausea, dizziness, headache, low blood pressure, low potassium levels, high calcium levels, or skin rash. The client should report any unusual or bothersome symptoms to the doctor.

Choice D is wrong because HCTZ is not a medication that can be taken as needed for symptoms of high blood pressure. High blood pressure often has no symptoms and can damage the blood vessels and organs over time. HCTZ works by reducing the fluid volume and pressure in the blood vessels. It needs to be taken regularly and consistently to maintain its effectiveness and prevent fluctuations in blood pressure. The client should be educated about the purpose, benefits, risks, and instructions of taking HCTZ. The client should also be advised to monitor their blood pressure, weight, fluid intake and output, and electrolyte levels while on this medication. The client should also be counseled about lifestyle modifications such as diet, exercise, stress management, and smoking cessation that can help lower blood pressure and improve overall health.

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Correct Answer is D

Explanation

Drinking 8 oz nonfat milk daily: Nonfat milk is low in fat and calories and is often recommended as part of a healthy diet that can help manage blood pressure. This action does not increase the risk of hypertension.

Eating popcorn at the movie theater: While movie theater popcorn can be high in salt and unhealthy fats, eating it occasionally in moderation may not significantly impact blood pressure. However, a regular high-sodium diet could contribute to hypertension.

Walking 1 mile daily at 12 min/mile pace: Regular physical activity like walking can help lower blood pressure and reduce the risk of hypertension. This is a positive action that helps in managing and preventing hypertension.

Consuming 36 oz beer daily: Consuming alcohol in large quantities regularly can lead to increased blood pressure and is a known risk factor for developing hypertension. 36 ounces of beer daily is a significant amount and could contribute to high blood pressure and other health issues.

A. “Aspirin will help lower your blood pressure and reduce your cardiac workload.” B. “Aspirin will help prevent blood clots from forming in your coronary arteries.” C. “Aspirin will help dilate your coronary arteries and increase blood flow to your heart.” D. “Aspirin will help reduce inflammation and pain in your chest.”.

Correct Answer is B

Explanation

Aspirin is an antiplatelet drug that inhibits the aggregation of platelets and prevents the formation of thrombi, which can occlude the coronary arteries and cause angina or myocardial infarction.Aspirin is recommended for clients who have angina and are at risk for myocardial infarction as a secondary prevention measure.

Choice A is wrong because aspirin does not lower blood pressure or reduce cardiac workload.These effects are achieved by other drugs such as beta blockers, calcium channel blockers, or angiotensin-converting enzyme inhibitors.

Choice C is wrong because aspirin does not dilate the coronary arteries or increase blood flow to the heart.These effects are achieved by other drugs such as nitrates or calcium channel blockers.

Choice D is wrong because aspirin does not reduce inflammation or pain in the chest.These effects are achieved by other drugs such as nonsteroidal anti-inflammatory drugs or opioids.

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A client with hypertension is prescribed hydrochlorothiazide (HCTZ). Which of the following statements by the client indicates an understanding of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is screening a male client for hypertension. The nurse should identify that which of the following actions by the client increase his risk for hypertension? (Select one).

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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