The nurse completed medication education with the patient who receives hydrochlorothiazide (Microzide). The nurse determines that teaching has been effective when the patient makes which statement?
1. "I really need to avoid grapefruit juice when I take this medication."
2. "I need to avoid salt substitutes and potassium-rich foods."
3. "I take my medication early in the morning."
4. "If I develop a cough, I should call my doctor."
3
Rationale 1: Grapefruit juice inhibits the metabolism of the calcium channel blockers.
Rationale 2: Hydrochlorothiazide (Microzide) is a potassium-excreting diuretic, and potassium supplementation is often necessary.
Rationale 3: Taking hydrochlorothiazide (Microzide) early in the day will help prevent nocturia.
Rationale 4: Development of a cough occurs with ACE inhibitors, not diuretics.
Global Rationale: Taking hydrochlorothiazide (Microzide) early in the day will help prevent nocturia. Grapefruit juice inhibits the metabolism of the calcium channel blockers. Hydrochlorothiazide (Microzide) is a potassium-excreting diuretic, and potassium supplementation is often necessary. Development of a cough occurs with ACE inhibitors, not diuretics.
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