Which instruction will the nurse include when teaching a client newly prescribed chlorothiazide (Diuril)?
1. "It is all right to have a glass of wine with this medication."
2. "Avoid foods high in potassium while you are taking this medication."
3. "Be sure to include lots of salt in your diet."
4. "Take the medication early in the morning."
Correct Answer: 4
Rationale 1: Alcohol can potentiate the hypotensive effects of chlorothiazide (Diuril) and lead to falls in older adults.
Rationale 2: Chlorothiazide (Diuril) is a potassium-excreting diuretic. Clients taking these drugs should eat a diet rich in potassium.
Rationale 3: A high sodium intake can reduce the effectiveness of diuretics. Clients should be placed on a sodium-restricted diet of 1,500 to 2,300 mg per day.
Rationale 4: Older adults are at risk for falls that might be associated with nocturia caused by taking diuretics in the evening.
Global Rationale: Older adults are at risk for falls that might be associated with nocturia caused by taking diuretics in the evening. Alcohol can potentiate the hypotensive effects of chlorothiazide (Diuril) and lead to falls in older adults. Chlorothiazide (Diuril) is a potassium-excreting diuretic. Clients taking these drugs should eat a diet rich in potassium. A high sodium intake can reduce the effectiveness of diuretics. Clients should be placed on a sodium-restricted diet of 1,500 to 2,300 mg per day.
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