A patient with hypertrophic cardiomyopathy (HCM) has been admitted to the medical unit
During the nurse's admission interview, the patient states that she takes over-the-counter "water pills" on a regular basis. How should the nurse best respond to the fact that the patient has been taking diuretics?
A) Encourage the patient to drink at least 2 liters of fluid daily.
B) Increase the patient's oral sodium intake.
C) Inform the care provider because diuretics are contraindicated.
D) Ensure that the patient's fluid balance is monitored vigilantly.
Ans: C
Feedback:
Diuretics are contraindicated in patients with HCM, so the primary care provider should be made aware. Adjusting the patient's sodium or fluid intake or fluid monitoring does not address this important contraindication.
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