A patient who is prescribed hydrochlorothiazide (HCTZ) informs the nurse that she plans to become pregnant. What does the nurse include in a care plan for the patient about this drug?
a. This drug is safe for use during pregnancy and breastfeeding.
b. The prescriber will most likely decrease your dose while you are pregnant.
c. You may take this drug during pregnancy, but should not use it if you plan to breastfeed.
d. This drug should be avoided during pregnancy and breastfeeding.
D
Thiazide diuretics should be avoided during pregnancy because they may cause side effects in the newborn, including jaundice and low potassium levels. Thiazide diuretics should also be avoided during breastfeeding because they pass into breast milk. The action of these drugs may decrease the flow of breast milk.
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A young woman has had three urinary tract infections (UTIs) in the last year. What teaching should the nurse plan for this patient?
A. Avoid sexual intercourse during your period. B. Take prophylactic antibiotics daily. C. Void every 4 hours while awake. D. Wipe from front to back after using the bathroom.
The nurse evaluates that the client understood discharge teaching regarding warfarin (Coumadin) based on which statement?
a. "I will double my dose if I forget to take it the day before." b. "I should keep taking ibuprofen for my arthritis." c. "I should decrease the dose if I start bruising easily." d. "I should use a soft toothbrush for dental hygiene."
A patient who has human immunodeficiency virus (HIV) infection has developed pneumocystis pneumonia (PCP) and will receive parenteral pentamidine (Pentam 300). The nurse caring for this patient will:
a. administer the drug with the patient supine and monitor the blood pressure closely. b. inform the patient to report coughing and shortness of breath. c. teach the patient that darkening of the urine may occur with this drug. d. tell the patient to report yellow discoloration of the sclerae.
A community health nurse wants to provide health promotion classes through the local hospital. Which of the following topics might be included in this endeavor?
1. Time management 2. Healthy eating habits 3. Exercise after stroke 4. Bicycle safety for children