ATI RN
ATI N211 Pharmacology Exam I Questions
Extract:
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: D
Rationale: The correct answer is D: Spironolactone. Spironolactone is a potassium-sparing diuretic that can lead to hyperkalemia due to its mechanism of action of inhibiting aldosterone, which promotes potassium retention. Additionally, Spironolactone can also cause hyponatremia by promoting sodium and water retention, leading to dilutional hyponatremia. Furosemide (
A) is a loop diuretic that can cause hypokalemia and hyponatremia. Hydrochlorothiazide (
B) is a thiazide diuretic that can cause hypokalemia and hyponatremia. Metolazone (
C) is a thiazide-like diuretic that can cause hypokalemia and hyponatremia.
Therefore, the correct answer is D because it can lead to both hyperkalemia and hyponatremia compared to the other options.
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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