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