Author Question: A client is taking a thiazide diuretic. The nurse assesses the client's serum glucose levelthe ... (Read 40 times)

casperchen82 · **on:** Jul 23, 2018

A client is taking a thiazide diuretic. The nurse assesses the client's serum glucose levelthe fasting blood glucose level is 150 mg/dl. What is an appropriate response by the nurse?

a. Instruct the client to discontinue taking hydrochlorothiazide .
b. Inform the healthcare provider of the glucose level and the possible need for a different diuretic.
c. Instruct the client to take hydrochlorothiazide every other day.
d. Instruct the client to take an antidiabetic drug instead of the diuretic.

Question 2

The client is being treated with Lanoxin and complains to the nurse of experiencing blurred vision. The highest priority nursing intervention is to recognize that this:

a. is an expected side effect of the medication; notify the physician.
b. is indicative of an anaphylactic reaction to the medication.
c. is an adverse reaction to the medication; notify the physician.
d. indicates an error in mixing the medication; notify the pharmacist.

leahm14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Thiazide diuretics can lead to impaired insulin function and hyperglycemia, warranting changing diuretic agents.

Answer to Question 2

ANS: A
Blurred vision is an expected side effect of Lanoxin.