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Author Question: The nurse caring for a client prescribed chlorothiazide (Diuril). Which assessment findings indicate ... (Read 115 times)

saliriagwu

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on: Jul 23, 2018
The nurse caring for a client prescribed chlorothiazide (Diuril). Which assessment findings indicate that the client is experiencing side effects of this medication?
 
  1. Ataxia and diarrhea
  2. Serum potassium 3.0 mEq/L and blood pressure 88/60 mmHg
  3. Serum sodium 170 mEq/L and headaches
  4. Mental confusion and dependent edema

Question 2

Which instruction will the nurse include when teaching a client newly prescribed chlorothiazide (Diuril)?
 
  1. It is all right to have a glass of wine with this medication.
  2. Avoid foods high in potassium while you are taking this medication.
  3. Be sure to include lots of salt in your diet.
  4. Take the medication early in the morning.


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dudman123

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Reply #1 on: Jul 23, 2018
Answer to Question 1

Correct Answer: 2
Rationale 1: Ataxia and diarrhea are not side effects of diuretic therapy.
Rationale 2: Chlorothiazide (Diuril) causes side effects of hypokalemia and hypotension.
Rationale 3: Hypernatremia indicates dehydration, and headaches are not side effects of thiazide diuretics.
Rationale 4: Mental confusion and dependent edema are not side effects of thiazide diuretics.
Global Rationale: Chlorothiazide (Diuril) causes side effects of hypokalemia and hypotension. Ataxia and diarrhea are not side effects of diuretic therapy. Hypernatremia indicates dehydration, and headaches are not side effects of thiazide diuretics. Mental confusion and dependent edema are not side effects of thiazide diuretics.

Answer to Question 2

Correct Answer: 4
Rationale 1: Alcohol can potentiate the hypotensive effects of chlorothiazide (Diuril) and lead to falls in older adults.
Rationale 2: Chlorothiazide (Diuril) is a potassium-excreting diuretic. Clients taking these drugs should eat a diet rich in potassium.
Rationale 3: A high sodium intake can reduce the effectiveness of diuretics. Clients should be placed on a sodium-restricted diet of 1,500 to 2,300 mg per day.
Rationale 4: Older adults are at risk for falls that might be associated with nocturia caused by taking diuretics in the evening.
Global Rationale: Older adults are at risk for falls that might be associated with nocturia caused by taking diuretics in the evening. Alcohol can potentiate the hypotensive effects of chlorothiazide (Diuril) and lead to falls in older adults. Chlorothiazide (Diuril) is a potassium-excreting diuretic. Clients taking these drugs should eat a diet rich in potassium. A high sodium intake can reduce the effectiveness of diuretics. Clients should be placed on a sodium-restricted diet of 1,500 to 2,300 mg per day.


saliriagwu

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Reply #2 on: Jul 23, 2018
Thanks


dudman123

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Reply #3 on: Jul 23, 2018
Welcome :)


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