Page 1776 - Saunders Comprehensive Review For NCLEX-RN

c. Hypovolemia
d. Hypotension
e. Rashes
f. Photosensitivity
g. Dehydration

3. Interventions

a. Monitor vital signs.
b. Monitor weight.
c. Monitor urine output.
d. Monitor electrolytes, glucose, calcium,
blood urea nitrogen (BUN), creatinine,
and uric acid levels.
e. Check peripheral extremities for edema.
f. Monitor for signs of digoxin or lithium
toxicity if the client is taking these
medications.
g. Instruct the client to take the
medication in the morning to avoid
nocturia and sleep interruption.
h. Instruct the client in how to record the
BP.
i. Instruct the client to eat foods high in
potassium.
j. Instruct the client in how to take
potassium supplements if prescribed.
k. Instruct the client to take medication
with food to avoid gastrointestinal
upset.
l. Instruct the client to change positions
slowly to prevent orthostatic
hypotension.
m. Instruct the client to use sunscreen
when in direct sunlight because of
increased photosensitivity.
n. Instruct the client with diabetes
mellitus to have the blood glucose
level checked periodically.

B. Loop diuretics (Box 53-8)

1. Description
a. Loop diuretics inhibit sodium and
chloride reabsorption from the loop of
Henle and the distal tubule.
b. Loop diuretics have little effect on the
blood glucose level; however, they
cause depletion of water and

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