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.