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.

Answer and Explanation

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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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.

A. Coma, respiratory alkalosis, and regular pupils. B. Pinpoint pupils, respiratory depression, and coma. C. Pinpoint pupils, hypertension, and constipation. D. Constipation, pupillary dilation, and hypotension.

Correct Answer is B

Explanation

A. Coma, respiratory alkalosis, and regular pupils: These are not indicative of opioid toxicity. Opioid toxicity typically leads to respiratory depression and constricted pupils.
B. Pinpoint pupils, respiratory depression, and coma: This is the classic triad of opioid toxicity. Pinpoint pupils, respiratory depression, and coma are hallmark signs.
C. Pinpoint pupils, hypertension, and constipation: Hypertension is not a typical feature of opioid overdose; hypotension is more common.
D. Constipation, pupillary dilation, and hypotension: Constipation is common with opioids but pupillary dilation and hypotension are not part of the typical toxicity triad.

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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?

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