Author Question: The nurse completed medication education with the patient who receives hydrochlorothiazide ... (Read 52 times)

CharlieWard · **on:** Jul 23, 2018

The nurse completed medication education with the patient who receives hydrochlorothiazide (HydroDIURIL). The nurse determines that teaching has been effective when the patient makes which statement?

1. I really need to avoid grapefruit juice when I take this medication.
2. I need to avoid salt substitutes and potassium-rich foods.
3. I take my medication early in the morning.
4. If I develop a cough, I should call my doctor.

Question 2

What is a priority nursing intervention for a patient who has just begun antihypertensive treatment with enalapril (Vasotec)?

1. Monitor the patient for headaches.
2. Take the patient's blood pressure.
3. Order a sodium-restricted diet for the patient.
4. Review the patient's lab results for hypokalemia.

s.meritte · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale: Taking hydrochlorothiazide (HydroDIURIL) early in the day will help prevent nocturia. Hydrochlorothiazide (HydroDIURIL) is a potassium-excreting diuretic and potassium supplementation is often necessary. Development of a cough occurs with ACE Inhibitors, not diuretics. Grapefruit juice inhibits the metabolism of the calcium channel blockers.

Answer to Question 2

Correct Answer: 2
Rationale: Enalapril (Vasotec) may produce a first-dose phenomenon resulting in profound hypotension, which may result in syncope. Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia. Enalapril (Vasotec) does not affect sodium levels. Although headache is a side effect, it is not as big a priority as profound hypotension.