NCLEX-PN

Category - Pharmacological Therapies

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Which of the following clients has the greatest risk for hyperkalemia?

A client prescribed with spironolactone (Aldactone)
A client who requires gastrointestinal suction
A client with Cushing’s disease
A client on long-term steroid therapy

Explanation

Answer: A - A client prescribed with spironolactone has the greatest risk for hyperkalemia. Spironolactone is a diuretic that excretes sodium and retains potassium. A client requiring gastrointestinal suction is at risk for hypokalemia because gastrointestinal secretions are high in potassium. Clients with Cushing’s disease and on long-term steroid therapy have the tendency to excrete potassium in significant amounts.

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