Question

The elderly patient is receiving chlorothiazide (Diuril). What does the best teaching by the nurse include with this medication?

1. "Take the medication early in the morning."
2. "Avoid foods that are high in potassium."
3. "It is alright to have a glass of wine with this medication."
4. "Take the medication on an empty stomach."

Answer 1

Nursing teaching for chlorothiazide includes taking it in the morning, consuming high-potassium foods, avoiding alcohol, and not taking the medication on an empty stomach.

Step-by-step explanation:

The best teaching by the nurse for an elderly patient receiving chlorothiazide (Diuril), which is a diuretic, would include advising the patient to take the medication early in the morning. This timing helps prevent disruption of the patient's sleep pattern due to increased urination at night. Additionally, since diuretics can lead to the loss of potassium, it is important to encourage the intake of foods that are high in potassium, rather than avoiding them. It is also critical to mention that alcohol should be avoided while taking this medication because it has a diuretic effect, which could exacerbate the effects of chlorothiazide and potentially lead to dehydration. Finally, taking the medication with food can help to reduce stomach upset, so it is not recommended to take it on an empty stomach unless specifically instructed by the healthcare provider.