This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse caring for a client prescribed chlorothiazide (Diuril). Which assessment findings indicate ... (Read 155 times)

saliriagwu

  • Hero Member
  • *****
  • Posts: 537
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dudman123

  • Sr. Member
  • ****
  • Posts: 304
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

  • Hero Member
  • *****
  • Posts: 537
Reply #2 on: Jul 23, 2018
Thanks


dudman123

  • Sr. Member
  • ****
  • Posts: 304
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Pupil assessment; A, starting position, with penlight to side of pupil; Pupil assessment; A, starting position, with penlight to side of pupil;
abdomen assessment abdomen assessment
Caring for a patient on isolation precautions Caring for a patient on isolation precautions
Measuring the client’s height with a platform scale Measuring the client’s height with a platform scale
Measuring the client’s blood pressure Measuring the client’s blood pressure
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ... A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...
Video: Magnetic resonance imaging (MRI)

For a complete list of videos, visit our video library