NCLEX-PN

Category - Reduction of Risk

Which of the following clients has the greatest risk for hypokalemia?
  1. A client prescribed with spironolactone (Aldactone)
  2. A client with chronic renal failure
  3. A client with Addison’s disease
  4. A client with Cushing’s disease
Explanation
Answer: D - A client with Cushing’s disease is at risk for hypokalemia. In this condition, the client secretes excessive amounts of cortisol, a steroid hormone, which causes the excretion of potassium. Clients on potassium-sparing drugs like spironolactone are at risk for hyperkalemia. Clients with chronic renal failure and Addison’s disease tend to accumulate potassium, as well.
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