Answer to Question 1
Correct Answer: 2
Rationale 1: The onset of action of hydrochlorothiazide (HCTZ) is 2 hours.
Rationale 2: Two hours is the time following administration of the drug when the onset of action occurs, and this client likely will need assistance to the bathroom.
Rationale 3: The onset of action of hydrochlorothiazide (HCTZ) is 2 hours.
Rationale 4: The onset of action of hydrochlorothiazide (HCTZ) is 2 hours.
Global Rationale: Two hours is the time following administration of the drug when the onset of action occurs, and this client likely will need assistance to the bathroom.
Answer to Question 2
Correct Answer: 2,4
Rationale 1: It is not necessary to assess temperature prior to administering a diuretic.
Rationale 2: The nurse must assess the client's pulse prior to administering a diuretic.
Rationale 3: It is not necessary to assess respirations prior to administering a diuretic.
Rationale 4: The nurse must assess the client's blood pressure prior to administering a diuretic.
Rationale 5: It is not necessary to assess the client's pain prior to administering a diuretic.
Global Rationale: The nurse must assess the client's pulse and blood pressure prior to administering a diuretic. It is not necessary to assess temperature, respirations, or level of pain prior to administering a diuretic.