Client Concerns with Hydrochlorothiazide
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Questions and Answers

What is the most concerning finding for a client on hydrochlorothiazide?

  • Increasing triglyceride levels
  • Rash on sun-exposed skin of the face and arms
  • Nausea, headache, and lethargy (correct)
  • Client has been urinating frequently at night
  • What condition can be caused by thiazide diuretics like hydrochlorothiazide?

  • Hyperkalemia
  • Hypocalcemia
  • Hypernatremia
  • Hyponatremia (correct)
  • Which symptoms may indicate potential hyponatremia in a client taking hydrochlorothiazide?

  • Increased appetite and weight gain
  • Dry mouth and muscle cramps
  • Nausea, headache, and lethargy (correct)
  • Frequent headaches and dizziness
  • What does hydrochlorothiazide primarily treat?

    <p>Hypertension and edema</p> Signup and view all the answers

    Which other symptom might suggest an adverse reaction to hydrochlorothiazide?

    <p>Rash on sun-exposed skin of the face and arms</p> Signup and view all the answers

    Study Notes

    Client Concerns with Hydrochlorothiazide

    • Hyponatremia: Nausea, headache, and lethargy are symptoms of hyponatremia, a side effect of hydrochlorothiazide. This occurs when diuretics cause too much sodium loss in urine.

    • Severity of Hyponatremia: Hyponatremia symptoms are most concerning because untreated, severe hyponatremia can lead to confusion and seizures.

    • Mechanism of Action: Thiazide diuretics, like hydrochlorothiazide, block sodium and chloride reabsorption in the distal convoluted tubules, reducing fluid volume.

    • Other Options: Options like increasing triglyceride levels or rash are less serious than the electrolyte imbalance (hyponatremia) caused by hydrochlorothiazide.

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    Description

    This quiz addresses the client concerns associated with the use of hydrochlorothiazide, particularly the risk of hyponatremia. It covers symptoms, severity, and the mechanism of action of this diuretic, as well as compares it to other potential side effects. Test your understanding of these important aspects of patient care.

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