A nurse is teaching a hypertensive client who is taking hydrochlorothiazide. What client statement indicates understanding about hydrochlorothiazide?
A.
“I will not take this medicine when my blood pressure is okay”
B.
“I will check blood pressure in both arms and legs before taking the drug.”
C.
“I will decrease potassium foods such as bananas in my diet.”
D.
“I will take this medication in the morning since I will be urinating more.”
The Correct Answer and Explanation is:
The correct answer is:
D. “I will take this medication in the morning since I will be urinating more.”
Explanation:
Hydrochlorothiazide is a thiazide diuretic commonly prescribed to manage hypertension (high blood pressure). Understanding how to take the medication properly is crucial for effective treatment and minimizing side effects. Here’s a detailed explanation regarding the statements provided:
- “I will not take this medicine when my blood pressure is okay.” This statement indicates a misunderstanding. Hydrochlorothiazide is typically prescribed for long-term use to manage blood pressure, not just when it’s high. Consistent medication adherence is essential for controlling hypertension and preventing complications. Skipping doses based on current blood pressure readings can lead to inadequate control of blood pressure.
- “I will check blood pressure in both arms and legs before taking the drug.” While monitoring blood pressure is important, it is not necessary to check it in both arms and legs before taking hydrochlorothiazide. Blood pressure is usually monitored regularly by the healthcare provider, and it’s more common to check it in one arm. The primary focus for the patient is to take the medication as prescribed and follow up with their healthcare provider for regular monitoring.
- “I will decrease potassium foods such as bananas in my diet.” This statement reflects a misunderstanding about hydrochlorothiazide. Unlike potassium-sparing diuretics, hydrochlorothiazide is a potassium-wasting diuretic, which means it can lead to decreased potassium levels in the body. Therefore, patients are often advised to include potassium-rich foods in their diet or take potassium supplements if needed. Decreasing potassium intake can exacerbate the risk of hypokalemia (low potassium levels).
- “I will take this medication in the morning since I will be urinating more.” This statement demonstrates proper understanding. Hydrochlorothiazide increases urine production, which can lead to frequent urination. Taking the medication in the morning helps avoid disruptions to sleep due to nighttime urination. This approach minimizes inconvenience and ensures better compliance with the medication regimen.
In summary, the most appropriate statement reflecting understanding of hydrochlorothiazide’s effects and proper usage is D. Taking the medication in the morning aligns with its diuretic effect and helps manage side effects more effectively.