Introduction
Introduction ( 5 Questions)
A nurse is caring for a client who has hypertension and is taking hydrochlorothiazide. The client reports muscle weakness and fatigue. Which of the following responses should the nurse make?
Choice A is wrong because drinking more fluids can increase blood volume and blood pressure, which is not desirable for a client who has hypertension. Dehydration is not a common side effect of hydrochlorothiazide.
Hydrochlorothiazide is a thiazide diuretic that lowers blood pressure by increasing urine output. However, it also causes potassium loss, which can lead to muscle weakness and fatigue. Therefore, the client should consume foods that are rich in potassium, such as bananas, oranges, potatoes, and spinach.
Choice C is wrong because hydrochlorothiazide does not affect blood sugar levels directly. However, it can interact with some antidiabetic medications and increase the risk of hypoglycemia. Therefore, the client should monitor blood sugar levels regularly if taking both medications.
Choice D is wrong because hydrochlorothiazide does not increase sensitivity to sunlight. However, it can cause photosensitivity reactions in some clients, such as rash, itching, or redness of the skin. Therefore, the client should use sunscreen and wear protective clothing when exposed to sunlight.
No explanation
Hydrochlorothiazide is a thiazide diuretic that lowers blood pressure by increasing urine output. However, it also causes potassium loss, which can lead to muscle weakness and fatigue. Therefore, the client should consume foods that are rich in potassium, such as bananas, oranges, potatoes, and spinach.
Choice A is wrong because drinking more fluids can increase blood volume and blood pressure, which is not desirable for a client who has hypertension. Dehydration is not a common side effect of hydrochlorothiazide.
Choice C is wrong because hydrochlorothiazide does not affect blood sugar levels directly. However, it can interact with some antidiabetic medications and increase the risk of hypoglycemia. Therefore, the client should monitor blood sugar levels regularly if taking both medications.
Choice D is wrong because hydrochlorothiazide does not increase sensitivity to sunlight. However, it can cause photosensitivity reactions in some clients, such as rash, itching, or redness of the skin. Therefore, the client should use sunscreen and wear protective clothing when exposed to sunlight.