What teaching point should the nurse include for a client who is ...

[EY67]

What teaching point should the nurse include for a client who is prescribed a thiazide diuretic?
 
  1. Take the medication in the morning
  2. Take with two full glasses of water
  3. Avoid foods containing potassium
  4. Take before bed

Question 2

The client has been prescribed furosemide (Lasix). What condition does this medication cause?
 
  1. Hyperkalemia
  2. Increased blood pressure
  3. Increased respirations
  4. Hypokalemia

[cassie_ragen]

Answer to Question 1

1

Rationale 1: The client should take a diuretic in the morning to avoid frequent urination at night.
Rationale 2:Take with two full glasses of water is incorrect because the diuretic increases urine output, and does not need to be taken with two glasses of water.
Rationale 3:Avoid foods containing potassium is incorrect because a thiazide diuretic causes the client to lose potassium in the urine. A client would not need to avoid potassium in foods.
Rationale 4:Take before bed is incorrect because the client should take a diuretic in the morning to avoid frequent urination at night.

Global Rationale: The client should take a diuretic in the morning to avoid frequent urination at night. The diuretic should not be taken with two glasses of water. Thiazide diuretics cause the client to reduce blood volume through urinary excretion of water and electrolytes, including potassium, sodium, and magnesium. The client should not take the medication at night as frequent trips to the restroom will interrupt the client's sleep pattern.

Answer to Question 2

4

Rationale 1:Furosemide is a loop diuretic and causes hypokalemia, not hyperkalemia.
Rationale 2:Furosemide is a diuretic which decreases blood volume through the urinary excretion of water and electrolytes. The diuretic will cause hypotension.
Rationale 3:Furosemide does not have this effect on the body.
Rationale 4: Furosemide (Lasix) is a loop diuretic, and causes hypokalemia.

Global Rationale: Furosemide (Lasix) is a loop diuretic, and causes dehydration and hypokalemia. Other electrolyte imbalances of sodium and magnesium are adverse effects.

[EY67]

TYSM

[bdobbins]

Excellent