A nurse is caring for a client with hypertension who is prescribed a thiazide diuretic. Which instruction should the nurse include when educating the client about this medication?
"Take the diuretic at night to promote diuresis while you sleep and reduce daytime fluid loss."
"Increase your potassium intake through foods or supplements since diuretics may cause low potassium levels."
"Monitor your blood glucose regularly as thiazide diuretics can increase blood sugar levels."
"Expect frequent urination during the initial days of starting the medication, which will normalize over time."
The Correct Answer is B
A) This option is incorrect. Thiazide diuretics are best taken in the morning to prevent nighttime urination and disturbances in sleep.
B) Correct answer. Thiazide diuretics can cause potassium loss in some individuals, so it is essential to monitor potassium levels and, if necessary, increase potassium intake through dietary sources or supplements.
C) This option is incorrect. Thiazide diuretics are not known to significantly affect blood glucose levels.
D) This option is incorrect. Thiazide diuretics may cause increased urination initially, but this effect usually diminishes over time as the body adjusts to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This option is incorrect. While the client should avoid excessive movement during blood pressure measurements, they do not need to remain perfectly still during the entire 24-hour monitoring period of ABPM.
B) Correct answer. The client can remove the blood pressure cuff briefly for activities like showering or bathing. However, it is essential to reapply the cuff promptly after these activities to ensure continuous monitoring.
C) This option is incorrect. Mild physical activities, such as walking, are generally allowed during ABPM, but strenuous exercise should be avoided.
D) This option is incorrect. The client is not required to record daily activities and symptoms during the 24-hour monitoring period for ABPM. Instead, the device automatically records blood pressure readings at regular intervals throughout the day and night.
Correct Answer is C
Explanation
A) This option is incorrect. Hypertensive crises are characterized by a sudden and severe increase in blood pressure, not sudden drops.
B) This option is incorrect. During a hypertensive crisis, blood pressure levels can rise to extremely high levels, not remain stable.
C) Correct answer. Hypertensive crises involve severely high blood pressure levels, which can lead to acute organ damage and require immediate medical intervention.
D) This option is incorrect. Hypertensive crises are medical emergencies and require prompt medical intervention to lower blood pressure and prevent potential complications.
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