The nurse planning teaching for a client taking acetazolamide (Diamox) will include which instruction?
1. "Limit intake of foods high in potassium, such as peaches."
2. "Drink 1 to 2.5 quarts of fluids daily."
3. "Report signs of hypokalemia, such as vomiting and diarrhea."
4. "Weigh yourself daily, and report a weight gain of 1 pound or more in 24 hours."
Correct Answer: 2
Rationale 1: Persons taking carbonic anhydrase inhibitors should increase intake of foods high in potassium.
Rationale 2: An adequate fluid intake is necessary to prevent formation of renal calculi, which are an adverse effect of acetazolamide (Diamox).
Rationale 3: Vomiting and diarrhea are not signs of hypokalemia.
Rationale 4: A weight gain of 2 pounds rather than 1 pound in 24 hours is a standard indicator of fluid volume increase.
Global Rationale: An adequate fluid intake is necessary to prevent formation of renal calculi, which are an adverse effect of acetazolamide (Diamox). Persons taking carbonic anhydrase inhibitors should increase intake of foods high in potassium. Vomiting and diarrhea are not signs of hypokalemia. A weight gain of 2 pounds rather than 1 pound in 24 hours is a standard indicator of fluid volume increase.
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