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NCLEX-PN

Category - Pharmacological Therapies

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A nurse is caring for a client with congestive heart failure. The most recent laboratory test revealed that the client has a serum sodium level of 155 mEq/L and a serum potassium level of 3.1 mEq/L. The nurse should expect the physician to prescribe which medication for the client?

Spironolactone (Aldactone)
Furosemide (Lasix)
Bumetanide (Bumex)
Acetazolamide (Diamox)

Explanation

Answer: A - Based on the laboratory findings, the nurse should expect the physician to prescribe a diuretic that excretes sodium and retains potassium. Spironolactone is the only diuretic from the list that may help achieve the treatment goals.

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