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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?

A.

Arrange for the client's potassium levels to be assessed as soon as possible

B.

Teach the client about the blood pressure effects of the medication and relevant safety measures.

C.

Educate the client about the need for bed rest until the body adjusts to the new medication.

D.

Tell the client to withhold the medication until the client can be assessed by the primary health care provider.

Answer and Explanation

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 B

Explanation

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.

Correct Answer is B

Explanation

A. Hypertension is not a common side effect of antiplatelet therapy; rather, it may be managed or monitored during treatment.

B. Gastrointestinal bleeding is a well-documented side effect of antiplatelet medications like clopidogrel, as they inhibit platelet aggregation and can increase bleeding risk.

C. Hyperglycemia is not typically associated with antiplatelet therapy; it is more commonly related to corticosteroids or certain diabetic medications.

D. Tachycardia is not a common side effect of antiplatelet therapy; cardiovascular effects are usually related to the management of existing conditions.

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