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The nurse preparing to administer HCTZ (Hydrodiuril) 25 mg to a client with hypertension checks laboratory values and finds the potassium level is 2.8 mEq. The appropriate action is to:

A. Hold the medication, and notify the health care provider.
B. Administer the drug with orange juice.
C. Administer the drug as ordered, and continue to monitor the potassium level.
D. Give the client a banana, and recheck the potassium level.

Answer :

Final answer:

The action to be taken when a patient's potassium level is low and they are due to take HCTZ (a diuretic for hypertension) is to hold the medication and notify the healthcare provider. This is due to the risk of further lowering the potassium levels which could lead to serious health consequences.

Explanation:

The appropriate action under such circumstances is to hold the medication and notify the health care provider. The reason behind this is that HCTZ (Hydrodiuril) is a type of diuretic used to treat hypertension primarily by working on the loop of Henle, inhibiting the reabsorption of sodium (Na*) and chloride (Cl-). However, this process can lead to an imbalance of electrolytes, including potassium.

The normal potassium levels in the blood range between 3.5 and 5.0 mEq/L. A level of 2.8 mEq/L indicates a condition called hypokalemia, which means the potassium level in your blood is below the normal range. It's crucial to correct this because low potassium can affect heart rhythm and general bodily functions. Administering HCTZ in such a case could further lower the potassium levels, leading to potentially dangerous outcomes.

Hence, when blood tests show low potassium levels, it's appropriate to hold the medication and immediately inform the healthcare provider for further assessment and intervention, as potassium levels need careful management in patients being treated with diuretics for hypertension.

Learn more about Potassium and Hypertension here:

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