The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

I will be sure to avoid potassium while taking this medication.

I should take the medication in the morning so I am not up all night going to the bathroom.

I need to be sure to take this pill on an empty stomach.

If my blood pressure is really high, I will take a second dose.

Answer and Explanation

The Correct Answer is B

A. I will be sure to avoid potassium while taking this medication.: Thiazide diuretics can cause potassium loss, so patients are often advised to monitor their potassium levels and may need to increase their intake, not avoid it.
B. I should take the medication in the morning so I am not up all night going to the bathroom.: This is correct. Taking diuretics in the morning helps prevent nocturia (frequent urination at night), which can disrupt sleep.
C. I need to be sure to take this pill on an empty stomach.: Thiazide-like diuretics do not require an empty stomach for effectiveness; they can be taken with or without food.
D. If my blood pressure is really high, I will take a second dose.: This is incorrect and potentially dangerous. Medication dosing should be followed as prescribed, and adjustments should only be made by a healthcare provider.

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Correct Answer is A

Explanation

A. TIA: A transient ischemic attack (TIA) is characterized by temporary symptoms due to a brief period of reduced blood flow to the brain, with no lasting damage.
B. Stroke: A stroke involves a more prolonged interruption of blood flow to the brain and typically results in permanent neurological damage.
C. CVA: Cerebrovascular accident (CVA) is another term for stroke, involving sustained damage.
D. OSAH: This is not a relevant term or acronym for the condition described. It is not related to cerebral circulation impairment.

A. A patient with a BP of 170/80 mm Hg with a mild headache B. A patient with a BP of 180/120 mm Hg who is asymptomatic C. A patient with a BP of 150/60 mm Hg who is anxious D. A patient with a blood pressure (BP) of 140/70 mm Hg who has a nosebleed

Correct Answer is B

Explanation

A. A patient with a BP of 170/80 mm Hg with a mild headache: Although high, this BP is not as immediately critical as 180/120 mm Hg. The patient is experiencing only a mild headache, indicating less urgency.
B. A patient with a BP of 180/120 mm Hg who is asymptomatic: This BP level indicates a hypertensive crisis, which can lead to life-threatening complications such as stroke or heart attack, even if the patient is asymptomatic. Immediate intervention is needed to lower the BP safely.
C. A patient with a BP of 150/60 mm Hg who is anxious: This BP is elevated but not critically so. Anxiety management may be necessary but is not as urgent as managing a hypertensive crisis.
D. A patient with a blood pressure (BP) of 140/70 mm Hg who has a nosebleed: This BP is relatively mild compared to 180/120 mm Hg and is less immediately threatening, even with a nosebleed.

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The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the term or acronym for a temporary impairment of cerebral circulation that causes symptoms lasting minutes to hours but results in no permanent neurological changes?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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