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obinlemadim obinlemadim
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5 years ago
An older adult patient has a complex medical history that includes heart failure, type 1 diabetes, and diabetic nephropathy. The nurse has questioned a care provider's order for oral spironolactone because the patient's health problems would contribute to a high risk of
A)metabolic acidosis.
B)hypocalcemia.
C)hemolytic anemia.
D)hyperkalemia.
Textbook 
Abrams' Clinical Drug Therapy: Rationales for Nursing Practice

Abrams' Clinical Drug Therapy: Rationales for Nursing Practice


Edition: 10th
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wrote...
5 years ago
D
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The presence of renal insufficiency is also a contraindication to the use of spironolactone because use of spironolactone may cause hyperkalemia through the inhibition of aldosterone and the subsequent retention of potassium. This patient does not face a greatly increased risk of anemia, hypocalcemia, or acidosis.

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