Which response by the patient would indicate to the nurse that the client understood the education for their new hydrochlorothiazide prescription?
Fluids should be limited to 1000 mL daily
This medication is best taken at night
Dairy products should be avoided while on this medication
I will consume high potassium foods such as bananas and oranges
The Correct Answer is D
Choice A reason: This choice is incorrect because fluids should not be limited to 1000 mL daily for a client taking hydrochlorothiazide. Hydrochlorothiazide is a diuretic that causes the body to lose water and salt through urine. Limiting fluids can lead to dehydration, electrolyte imbalance, and kidney damage. The client should drink enough fluids to prevent thirst and dry mouth, and follow the doctor's advice on fluid intake.
Choice B reason: This choice is incorrect because this medication is not best taken at night for a client taking hydrochlorothiazide. Hydrochlorothiazide can cause frequent urination, which can disrupt the sleep cycle and cause fatigue. The client should take this medication in the morning or at least 4 hours before bedtime to avoid nocturia (nighttime urination).
Choice C reason: This choice is incorrect because dairy products should not be avoided while on this medication for a client taking hydrochlorothiazide. Hydrochlorothiazide can lower the level of calcium in the blood, which can cause muscle weakness, cramps, and osteoporosis. Dairy products are a good source of calcium and can help prevent calcium deficiency. The client should consume adequate amounts of calcium and vitamin D, and have their blood calcium level checked regularly.
Choice D reason: This choice is correct because the client should consume high potassium foods such as bananas and oranges while on this medication. Hydrochlorothiazide can lower the level of potassium in the blood, which can cause irregular heartbeat, muscle weakness, and numbness. Potassium-rich foods can help prevent potassium deficiency and maintain normal heart and muscle function. The client should also have their blood potassium level checked regularly and avoid salt substitutes that contain potassium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.75"]
Explanation
To calculate the amount of heparin to administer, we can use the following formula:
Amount to administer (mL) = (Desired dose (units) / Available dose (units/mL))
Plugging in the given values:
Amount to administer (mL) = (7,500 units / 10,000 units/mL)
Now, let's solve for the amount to administer:
Amount to administer (mL) = (7,500 / 10,000) = 0.75 mL
So, the nurse should administer 0.75 mL of heparin subcutaneously.
Correct Answer is ["750"]
Explanation
To calculate the infusion rate for the first 8 hours, we can use the following formula:
Infusion rate (mL/hr) = (Volume to be infused / Time for infusion)
First, we need to find the volume to be infused in the first 8 hours:
Volume for the first 8 hours = Total volume / 2 = 12 L / 2 = 6 L = 6000 mL
Now we can calculate the infusion rate for the first 8 hours:
Infusion rate = 6000 mL / 8 hr = 750 mL/hr
Therefore, the nurse should set the IV pump to deliver 750 mL/hr during the first 8 hours.
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