The nurse has a prescription to give a first dose of hydrochlorothiazide (HydroDIURIL) to an assigned client. The nurse would question the prescription if the client has a history of allergy to which of the following?
1. Iodine
2. Shellfish
3. Penicillin
4. Sulfa drugs
4
Rationale: Thiazide diuretics, such as hydrochlorothiazide, are sulfa-based medications, and a client with a sulfa allergy is at risk for an allergic reaction. A sulfa allergy must be communicated to the pharmacist, physician, nurse, and other health care providers. The other options are not contraindications for administering the medication.
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