A nurse is caring for a group of clients. The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)

A client taking prednisone.

A client taking torsemide.

A client taking polystyrene sulfonate.

A client taking spironolactone.

A client taking hydrochlorothiazide.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A rationale
Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.
Choice B rationale
Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.
Choice C rationale
Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.
Choice E rationale
Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.

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Correct Answer is C

Explanation

Choice A rationale
Rifampin is an antibiotic used to treat tuberculosis and other bacterial infections. It does not have a known interaction with St. John’s wort.
Choice B rationale
Furosemide is a diuretic used to treat fluid retention and high blood pressure. It does not have a known interaction with St. John’s wort.
Choice C rationale
Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John’s wort can interact with SSRIs like citalopram, potentially leading to serotonin syndrome, a serious condition caused by excessive levels of serotonin in the brain.
Choice D rationale
Allopurinol is used to treat gout and kidney stones. It does not have a known interaction with St. John’s wort.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

The client is at risk for developing cardiac arrhythmia due to hypokalemia.

Hypokalemia (low potassium levels) can lead to cardiac arrhythmias, which are irregular heartbeats. The client’s potassium level is 3.1 mEq/L, which is below the normal range (3.5-5.0 mEq/L). This, combined with his symptoms of dizziness, palpitations, and weakness, indicates a risk for developing cardiac arrhythmias.

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A nurse is caring for a group of clients. The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing an admission assessment for a client who has been taking St. John’s wort. The nurse should identify that which of the following medications can interact with St. John’s wort?

Correct Answer is C

Explanation

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

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