A nurse is providing an in-service for hydrochlorothiazide (Hydro Diuril). Which of the following statements are TRUE regarding hydrochlorothiazide? (Select All That Apply).
The medication works in the distal tubule to block the reabsorption of sodium and chloride,
This medication is the first choice to treat essential hypertension
A complication of this medication is urinary retention
A complication of this medication is opioid toxicity
Correct Answer : A,B
A. Hydrochlorothiazide is a thiazide diuretic that works in the distal convoluted tubule of the kidney. It inhibits the reabsorption of sodium and chloride, leading to increased excretion of water, sodium, and chloride.
B. Hydrochlorothiazide is often the first-line treatment for hypertension because it helps reduce blood pressure through diuresis (increased urine output), which reduces fluid volume in the body.
C. Urinary retention is not a known complication of hydrochlorothiazide. Instead, it may cause frequent urination due to its diuretic effect.
D. Hydrochlorothiazide does not interact with opioids in a way that would cause opioid toxicity. It primarily affects sodium and water balance in the body.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Continue taking the medication as prescribed: Missing doses requires specific action.
B. Take two doses the next two days and use an additional form of contraception for 7 days: Missing two days of active pills requires the client to take two pills for the next two days and use backup contraception for 7 days.
C. Take one dose as soon as possible, continue oral contraceptive regimen, use additional contraception for 7 days: While taking one dose is correct, the second dose for two days is needed.
D. Use an alternative form of contraception only: An alternative method is necessary, but taking two pills for two days is also important.
Correct Answer is A
Explanation
A. Respiratory depression is a hallmark sign of opioid toxicity. A rate of 7 breaths per minute indicates severe respiratory depression, which can be life-threatening and requires immediate intervention with naloxone.
B. Anxiety is not typically associated with opioid toxicity, but rather may be a sign of withdrawal or other conditions.
C. Fever is not a sign of opioid toxicity. It may be a sign of infection or other medical issues.
D. Hypertension is not typical of opioid toxicity; opioids usually cause hypotension, not hypertension.
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