A nurse is providing information to a client who has a new prescription for hydrochlorothiazide (Hydro Diuril). Which of the following information should the nurse include?
Expect increased swelling of the ankles.
Fluid intake should be limited
Take this medication at bedtime.
Take this medication with food.
The Correct Answer is D
A. Hydrochlorothiazide does not typically cause increased swelling of the ankles. It is a diuretic and helps reduce fluid retention.
B. Fluid intake should not be restricted unless specifically indicated. Diuretics like hydrochlorothiazide increase urine output, and adequate fluid intake is generally encouraged to prevent dehydration.
C. Taking hydrochlorothiazide at bedtime is not recommended due to the increased urination, which may disrupt sleep.
D. Taking this medication with food can help prevent gastrointestinal upset, which is a common side effect of hydrochlorothiazide.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. Tamsulosin (Flomax): Tamsulosin is an alpha-blocker that helps relax the muscles of the prostate and bladder neck, making it easier to urinate. It is commonly used to treat BPH.
B. Finasteride (Proscar): Finasteride is a 5-alpha-reductase inhibitor that reduces the size of the prostate and is used to treat BPH.
C. Ethinyl estradiol and drospirenone (Yasmin): This is a combination oral contraceptive, not used to treat BPH.
D. Sildenafil (Viagra): Sildenafil is used to treat erectile dysfunction, not BPH.
Correct Answer is B
Explanation
A. This is not the correct action because the issue with misoprostol in pregnancy is not related to the route of administration, but rather its potential to cause uterine contractions and harm to the pregnancy. The nurse should not administer the medication at all, regardless of the route, and should notify the physician for further clarification.
B. Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, which may result in a miscarriage or preterm labor. The nurse should not administer this medication and must inform the healthcare provider to reconsider the prescription or explore alternative options to prevent stomach ulcers in pregnant clients.
C. Administering misoprostol to a pregnant client is dangerous, as it can stimulate uterine contractions and threaten the pregnancy. Monitoring for adverse reactions would not be an appropriate course of action, as the medication should not be given to begin with.
D. Even though verifying the patient's identity is always an important step, the main concern here is that misoprostol is contraindicated during pregnancy. The nurse should not administer this medication and must first clarify with the healthcare provider if it is suitable for the pregnant patient.
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