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Home Q & A Board Biology-Related Homework Help Medicine Pharmacology (Moderator: DelightfulMind)
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Siisi Siisi
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6 years ago
The nurse is preparing to administer the first dose of hydrochlorothiazide (HydroDIURIL) 50 mg to a patient who has a blood pressure of 160/95 mm Hg. The nurse notes that the patient had a urine output of 200 mL in the past 12 hours.
 
  The nurse will perform which action?
  a. Administer the medication as ordered.
  b. Encourage the patient to drink more fluids.
  c. Hold the medication and request an order for serum BUN and creatinine.
  d. Request an order for serum electrolytes and administer the medication.
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#1
6 years ago
ANS: C
Thiazide diuretics are contraindicated in renal failure. This patient has oliguria and should be evaluated for renal failure prior to administration of the diureticespecially in the absence of known renal failure for this patient. Drinking more fluids will not increase urine output in patients with renal failure.
Siisi Author
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#2
6 years ago
Thanks again
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