An older client has been prescribed medications for the management of hypertension. The nurse addresses the client's need for information regarding the resulting affect on urinary function when sharing that:
a. "You may notice a need to urinate more frequently with your new medica-tions."
b. "Chronic hypertension can result in chronic renal dysfunction."
c. "It's best to limit your fluid intake after dinner to minimize being awakened by the need to urinate."
d. "Hypertensive medications can make you more at risk for bladder infections."
ANS: A
Medications such as diuretics and ACE inhibitors used to treat hypertension do increase the output of urine. The statement regarding renal failure is not incorrect but such an outcome is not generally a result of the medications prescribed. Limiting fluid intake is not generally necessary and should not be done unless recommended by a physician. It is not likely that antihypertensive medications will increase the risk for urinary infections.
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