The nurse has a prescription to give a first dose of ...

[Haya94]

The nurse has a prescription to give a first dose of hydrochlorothiazide (HydroDIURIL) to an assigned client. The nurse would question the prescription if the client has a history of allergy to which of the following?
 
  1. Iodine
  2. Shellfish
  3. Penicillin
  4. Sulfa drugs

Question 2

A client taking verapamil (Calan) has been given information about side effects of this medication.
 
  The nurse determines that the client understands the information shared if the client states that he or she will watch for which of the following most common side effects of this medication? 1. Weight loss
  2. Constipation
  3. Nasal stuffiness
  4. Abdominal cramping

[helenmarkerine]

Answer to Question 1

4

Rationale: Thiazide diuretics, such as hydrochlorothiazide, are sulfa-based medications, and a client with a sulfa allergy is at risk for an allergic reaction. A sulfa allergy must be communicated to the pharmacist, physician, nurse, and other health care providers. The other options are not contraindications for administering the medication.

Answer to Question 2

2

Rationale: Verapamil (Calan) is a calcium-channel blocker. The most common complaint with the use of verapamil is constipation. Other frequent side effects are dizziness, facial flushing, headache, and edema of the hands and feet. Weight loss, nasal stuffiness, and abdominal cramping are not associated with the use of this medication.