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    ATI LPN Nurs 113 Med Surg Perfusion proctored Exam

    A 69-year-old patient is taking a diuretic for hypertension. Which of the following teaching points should the nurse include?

    Explanation & Rationale

    Choice A reason: Diuretics can cause orthostatic hypotension by reducing blood volume, leading to dizziness. Rising slowly from a seated position minimizes this risk, making it a critical teaching point for safe diuretic use in a 69-year-old with hypertension, ensuring patient safety and adherence. Choice B reason: Taking diuretics at bedtime is not advised, as they increase urination, causing nocturnal disturbances. Morning dosing is preferred to avoid sleep disruption, making this incorrect, as the nurse should teach daytime administration for better patient comfort and compliance. Choice C reason: Expecting increased foot swelling is incorrect, as diuretics reduce edema by promoting fluid excretion. Swelling suggests inadequate control or complications, requiring reporting, not expectation, making this an incorrect teaching point for diuretic therapy in hypertension management. Choice D reason: Consuming high-sodium foods counteracts diuretics’ effect, as sodium retention increases blood pressure and fluid overload. Low-sodium diets are recommended, making this incorrect, as the nurse should teach sodium restriction to enhance diuretic efficacy and hypertension control.

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