ATI Fundamental Exams | Nurselytic

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Question 1 of 5

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?

Correct Answer: B

Rationale: The correct answer is B: Spironolactone. Spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia due to its ability to retain potassium. It also causes hyponatremia by blocking the action of aldosterone, resulting in increased sodium excretion. Hydrochlorothiazide (
A) is a thiazide diuretic that can cause hyponatremia but not hyperkalemia. Furosemide (
C) is a loop diuretic that can cause hypokalemia and hyponatremia but not hyperkalemia. Metolazone (
D) is a thiazide-like diuretic that can cause hypokalemia and hyponatremia but not hyperkalemia.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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