A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when standing up quickly from sitting or lying. What is the nurse's best action?
Arrange for the client's potassium levels to be assessed as soon as possible
Teach the client about the blood pressure effects of the medication and relevant safety measures.
Educate the client about the need for bed rest until the body adjusts to the new medication.
Tell the client to withhold the medication until the client can be assessed by the primary health care provider.
The Correct Answer is B
A. While assessing potassium levels is important for clients on diuretics, the immediate concern is the client's dizziness, which indicates a potential issue with blood pressure.
B. Teaching the client about the potential for orthostatic hypotension caused by hydrochlorothiazide and instructing them on safety measures (e.g., standing up slowly) is crucial to prevent falls and address the dizziness.
C. Bed rest is not necessary; the client should be educated about managing dizziness instead.
D. Withholding the medication is not warranted unless directed by a healthcare provider; the focus should be on safety education.
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Correct Answer is ["A","B","D","E"]
Explanation
A. Maintain good oral hygiene to minimize dry mouth is correct; good oral hygiene practices can help alleviate dry mouth, which is a common anticholinergic effect.
B. Void before taking the medication so urinary hesitation is less problematic is correct; this strategy can help manage urinary retention, another potential side effect of tricyclic antidepressants.
C. Avoid situations where bruising or lacerations are a possibility is incorrect; while caution is always advisable, this statement does not directly relate to anticholinergic effects.
D. Eat several small meals daily rather than three larger meals is correct; smaller meals can help mitigate gastrointestinal side effects and maintain steady blood sugar levels.
E. Use caution in situations where it may be possible to become overheated is correct; anticholinergic medications can impair thermoregulation, increasing the risk of heat-related illnesses.
Correct Answer is C
Explanation
A. This insulin does not peak like short-acting insulin; glargine provides a consistent release of insulin without a peak effect.
B. Long-acting insulin is not meant to be taken with meals, as it provides basal control and is typically taken once daily, not with each meal.
C. This statement is correct; glargine provides a steady level of insulin over 24 hours, helping to maintain consistent blood glucose levels throughout the day and night.
D. Long-acting insulin is usually administered once daily, so stating that it must be given three times a day is incorrect.