Why would a client benefit from a thiazide diuretic over a loop diuretic?
1. They can be taken on an as-needed basis.
2. They do not cause electrolyte imbalance.
3. Possible dehydration is not a factor.
4. The frequency of adverse effects is much lower.
Correct Answer: 4
Rationale 1: They can be taken on an as-needed basis is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.
Rationale 2: They do not cause electrolyte imbalance is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.
Rationale 3: Possible dehydration is not a factor is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.
Rationale 4: Side effects from thiazides are generally minor, and rarely cause discontinuation of therapy.
Global Rationale: Side effects from thiazides are generally minor, and rarely cause discontinuation of therapy. They can be taken on an as-needed basis is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness. They do not cause electrolyte imbalance is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness. Possible dehydration is not a factor is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.
You might also like to view...
The nurse is evaluating the plan of care and notes that none of the goals have been met for the client with impaired gas exchange. Which action by the nurse is the most appropriate?
1. Report the lack of achievement of the goals to the healthcare provider. 2. Review the data and modify the plan. 3. Reformulate the nursing diagnosis to a more realistic one. 4. Request a consult for the client to be seen by a pulmonologist.
Victims of a boating accident were admitted to the hospital with the diagnosis of hypothermia. The nurse realizes these clients' loss of body temperature occurred through:
1. Vaporization. 2. Conduction. 3. Insensible water loss. 4. Insensible heat loss.
The nurse initiates a blood transfusion for a client. What action should the nurse take next?
1. Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion. 2. Assign the UAP to sit with the client for 15 minutes. 3. Advise the client to notify the nurse if he experiences any chilling, nausea, flushing, or rapid heart rate. 4. Return to the room and take a set of vital signs in 15 minutes.
Which is an appropriate nursing intervention when using an alternate site for taking blood pressure (BP)?
A) Do not use the same site continuously throughout the client's care. B) Document the site where BP values were measured. C) Place the client in semi-Fowler's position. D) Measure the respiratory rate along with the BP.