A client is taking a thiazide diuretic. The nurse assesses the client's serum glucose level—the fasting blood glucose level is 150 mg/dl. What is an appropriate response by the nurse?
a. Instruct the client to discontinue taking hydrochlorothiazide.
b. Inform the healthcare provider of the glucose level and the possible need for a different diuretic.
c. Instruct the client to take hydrochlorothiazide every other day.
d. Instruct the client to take an antidiabetic drug instead of the diuretic.
ANS: B
Thiazide diuretics can lead to impaired insulin function and hyperglycemia, warranting changing diuretic agents.
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