The patient is receiving chlorothiazide (Diuril). What is the best medication education by the nurse?
1. "Avoid foods high in potassium, such as bananas."
2. "Weigh yourself, and report a gain of more than 2 pounds in 24 hours."
3. "Weigh yourself and report a gain of more than 0.5 pounds in 24 hours."
4. "Report signs of hypokalemia, such as vomiting and diarrhea."
Correct Answer: 2
Rationale: Patients receiving thiazide diuretics should check weight daily and report a weight gain of 2 or more pounds in 24 hours. Patients receiving thiazide diuretics should consume foods high in potassium. Vomiting and diarrhea are not signs of hypokalemia. A weight gain of more than 2, not 0.5, pounds in 24 hours is considered the "gold standard" for fluid overload.
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