Author Question: The patient receives hydrochlorothiazide (Microzide). He tells the nurse he is urinating a lot and ... (Read 19 times)

tatyanajohnson · **on:** Jul 23, 2018

The patient receives hydrochlorothiazide (Microzide). He tells the nurse he is urinating a lot and questions how this drug affects his blood pressure. What is the best response by the nurse?

1. Hydrochlorothiazide (Microzide) enhances kidney function causing you to urinate more and that decreases your blood pressure.
2. Hydrochlorothiazide (Microzide) decreases the fluid in your bloodstream and this lowers your blood pressure.
3. Hydrochlorothiazide (Microzide) dilates your blood vessels so you urinate more and your blood pressure decreases.
4. Hydrochlorothiazide (Microzide) increases your heart rate; this pumps blood faster to your kidneys so you urinate more and your blood pressure decreases.

Question 2

The nurse is preparing to administer an adrenergic drug intravenously. What nursing actions should be planned? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Give the drug as rapidly as possible by intravenous push.
2. Dilute the drug before administration.
3. Use an infusion pump to control rate of administration.
4. Monitor for blanching at the infusion site.
5. Advise the patient that a sweet taste may occur as the drug is being given.

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

Answer to Question 1

2
Rationale 1: Hydrochlorothiazide (Microzide) does not enhance kidney function.
Rationale 2: Blood volume is one of the three factors influencing blood pressure. Diuretics like hydrochlorothiazide (Microzide) decrease blood pressure by decreasing total blood volume.
Rationale 3: Hydrochlorothiazide (Microzide) does not dilate blood vessels.
Rationale 4: Hydrochlorothiazide (Microzide) does not increase heart rate.
Global Rationale: Blood volume is one of the three factors influencing blood pressure. Diuretics like hydrochlorothiazide (Microzide) decrease blood pressure by decreasing total blood volume. Hydrochlorothiazide (Microzide) does not increase heart rate. Hydrochlorothiazide (Microzide) does not dilate blood vessels. Hydrochlorothiazide (Microzide) does not enhance kidney function.

Answer to Question 2

2,3,4
Rationale 1: These drugs should be administered slowly.
Rationale 2: These drugs should be diluted prior to administration.
Rationale 3: Infusion of these drugs should be controlled via an infusion pump.
Rationale 4: Blanching at the infusion site indicates probable extravasation. The drip should be stopped.
Rationale 5: There is no evidence that a sweet taste will occur.

Global Rationale: These drugs should be diluted prior to administration. Infusion of these drugs should be controlled via an infusion pump. Blanching at the infusion site indicates probable extravasation. The drip should be stopped. These drugs should be administered slowly. There is no evidence that a sweet taste will occur.