The nurse is teaching a patient about taking hydrochlorothiazide. Which statement by the patient indicates a need for further teaching?
a. "I may need extra sodium and calcium while taking this drug."
b. "I should eat plenty of fruits and vegetables while taking this medication."
c. "I should take care when rising from a bed or chair when I'm on this medication."
d. "I will take the medication in the morning to minimize certain side effects."
ANS: A
Patients do not need extra sodium or calcium while taking thiazide diuretics.
Thiazide diuretics can lead to hypokalemia, so patients should be counseled to eat fruits and vegetables that are high in potassium. Patients can develop orthostatic hypotension and should be counseled to rise from sitting or lying down slowly. Taking the medication in the morning helps to prevent nocturia-induced insomnia.
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