A patient is receiving chlorothiazide (Diuril), a thiazide diuretic for hypertension. What nursing action is most important for prevention of complications?
a. Measure output
b. Increase fluid intake
c. Assess for hypokalemia
d. Assess for hypernatremia
ANS: C
The thiazide diuretic, chlorothiazide (Diuril), affects electrolytes to cause hypokalemia (extreme potassium depletion in blood).
You might also like to view...
A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars. The nurse suspects that he may have injured his spleen
Which of these statements is true regarding assessment of the spleen in this situation? a. The spleen can be enlarged as a result of trauma. b. The spleen is normally felt on routine palpation. c. If an enlarged spleen is noted, then the nurse should thoroughly palpate to determine its size. d. An enlarged spleen should not be palpated because it can easily rupture.
A 35-year-old pregnant woman comes to the clinic with an allergic reaction. What would the nurse know to be contraindicated in the care of this patient?
A) Anti-inflammatories B) Antihistamines C) Antiemetics D) Antibiotics
The client with Parkinsonism asks the nurse why vitamin B6 should be avoided. Which response would be most appropriate for the nurse?
1. "The vitamin is excreted in the feces and bile." 2. "The vitamin causes mental confusion and hallucinations in people with Parkinson disease." 3. "The vitamin reverses or antagonizes the therapeutic effects of some anti-Parkinson drugs" 4. "The vitamin increases the amount of dopamine entering the brain and promotes levodopa production."
The nurse is assessing the heart rate of a healthy school-age child. The nurse expects that the child's heart rate will be in what ranges?
A) 80 to 150 bpm B) 70 to 120 bpm C) 65 to 110 bpm D) 60 to 100 bpm