Podcast
Questions and Answers
Which symptom indicates the potential occurrence of hyponatremia in a client prescribed hydrochlorothiazide?
Which symptom indicates the potential occurrence of hyponatremia in a client prescribed hydrochlorothiazide?
- Increased triglyceride levels
- Rash on sun-exposed skin of the face and arms
- Frequent nighttime urination
- Nausea, headache, and lethargy (correct)
What is one of the primary mechanisms by which hydrochlorothiazide acts as a diuretic?
What is one of the primary mechanisms by which hydrochlorothiazide acts as a diuretic?
- Increases sodium reabsorption in the proximal tubule
- Blocks reabsorption of sodium and chloride in distal convoluted tubules (correct)
- Inhibits water permeability in the loop of Henle
- Enhances potassium secretion in the collecting ducts
What condition can develop if hyponatremia caused by hydrochlorothiazide is not addressed?
What condition can develop if hyponatremia caused by hydrochlorothiazide is not addressed?
- Confusion or seizures (correct)
- Hyperkalemia and metabolic acidosis
- Thrombocytopenia and leukopenia
- Dehydration and hypovolemia
For a 76-year-old female client on hydrochlorothiazide, which finding is the least likely to be directly related to a side effect of the medication?
For a 76-year-old female client on hydrochlorothiazide, which finding is the least likely to be directly related to a side effect of the medication?
Which client symptom requires immediate assessment based on the medication prescribed?
Which client symptom requires immediate assessment based on the medication prescribed?
Flashcards
Hyponatremia
Hyponatremia
A side effect of hydrochlorothiazide that happens when too much sodium is lost in the urine.
Hydrochlorothiazide
Hydrochlorothiazide
A medication used to decrease fluid retention and lower blood pressure.
Hyponatremia
Hyponatremia
A condition characterized by low sodium levels in the blood.
Nausea, headache, lethargy
Nausea, headache, lethargy
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Thiazide diuretics
Thiazide diuretics
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Study Notes
Client Finding Concerns
- A 76-year-old female recently prescribed hydrochlorothiazide
- Symptoms of hyponatremia are nausea, headache, and lethargy
- Hyponatremia is a side effect of thiazide diuretics, like hydrochlorothiazide
- This occurs when too much sodium is lost in the urine
- The diuretics block sodium and chloride reabsorption in the distal convoluted tubules
- Severe hyponatremia can lead to confusion or seizures if not corrected
- Nausea, headache, and lethargy are the most concerning symptom
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