A nurse is preparing an in-service about potassium-wasting diuretics. Which of the following medications is a diuretic has a complication of hypokalemia?
Mannitol
Spironolactone (Aldactone)
Furosemide (Lasix)
Metformin
The Correct Answer is C
A. Mannitol is an osmotic diuretic, and although it can cause dehydration and electrolyte imbalances, it does not specifically cause hypokalemia as a primary side effect.
B. Spironolactone is a potassium-sparing diuretic, so it is less likely to cause hypokalemia. In fact, it can cause hyperkalemia.
C. Furosemide is a loop diuretic that increases urine output and can lead to potassium loss, causing hypokalemia. This is a common complication of loop diuretics.
D. Metformin is an oral antidiabetic medication and is not a diuretic, so it is not associated with hypokalemia.
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Related Questions
Correct Answer is D
Explanation
A. This medication is an osmotic diuretic that reduces intracranial pressure: Furosemide is a loop diuretic, not an osmotic diuretic.
B. This medication works on the distal tubule of the kidney: Furosemide works on the loop of Henle, not the distal tubule.
C. An adverse effect of this medication is hyperkalemia: Furosemide can cause hypokalemia, not hyperkalemia.
D. This medication is used for pulmonary edema caused by heart failure: Furosemide is commonly used to treat fluid retention and pulmonary edema caused by heart failure.
Correct Answer is B
Explanation
A. This is one of the "rights" of safe medication administration. It ensures that the nurse is giving the correct medication to the patient.
B. This is not one of the 10 rights of medication administration. The "rights" focus on the patient, medication, dose, time, route, and other safety checks, but insurance approval is a separate concern.
C. Ensuring the medication is given at the right time is an essential aspect of medication safety.
D. The route of administration (oral, intravenous, etc.) is another crucial component of the "rights."
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