A nurse is assessing a patient on hydrochlorothiazide (HydroDIURIL). Which symptom should the nurse specifically look for?

Hydrochlorothiazide, a thiazide diuretic, is primarily used to manage hypertension and edema. One of the notable side effects associated with the use of this medication is electrolyte imbalance, particularly hypokalemia (decreased potassium levels), which can lead to fluid retention or swelling. Swelling in the extremities can indicate potential fluid retention due to the body’s response to decreased blood volume and compensatory mechanisms.

When assessing a patient on hydrochlorothiazide, it’s important for the nurse to monitor for signs of swelling, as this could suggest that the diuretic is not effectively managing fluid balance or that the patient is experiencing adverse effects related to the medication. While weight gain might be expected in cases of fluid retention, and shortness of breath and rash might also signify various issues, swelling specifically highlights the impact of fluid management in the context of diuretic therapy. It is crucial for the healthcare provider to ensure that the patient is responding appropriately to the medication and to adjust treatment as necessary to avoid complications.