A nurse is reviewing the medication history of a patient. The nurse should identify that which of the following medications places the patient at risk for hypokalemia?
Cimetidine 300 mg PO four times per day
Furosemide 80 mg PO daily
Meloxicam 7.5 mg PO once daily
Montelukast 10 mg to take daily
The Correct Answer is B
Choice A reason: Cimetidine is a medication used to treat ulcers and gastroesophageal reflux disease (GERD) and does not typically cause hypokalemia.
Choice B reason: Furosemide is a loop diuretic that can cause the excretion of potassium, leading to hypokalemia, which is a decrease in potassium levels in the blood.
Choice C reason: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) and does not commonly cause hypokalemia.
Choice D reason: Montelukast is used to prevent asthma atacks and does not typically cause hypokalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hyperactive bowel sounds are not typically associated with hyperkalemia, which is a high level of potassium in the blood.
Choice B reason: Decreased deep tendon reflexes can be a sign of hyperkalemia, as high potassium levels can affect neuromuscular function.
Choice C reason: Cerebral edema is not a direct manifestation of hyperkalemia; it is more commonly associated with other conditions such as traumatic brain injury or stroke.
Choice D reason: Weakening, or muscle weakness, can be a symptom of hyperkalemia, but it is less specific than decreased deep tendon reflexes.
Correct Answer is A
Explanation
Choice A reason: Metabolic alkalosis is indicated by a high pH and a high HCO3 level. In this case, the pH is 7.5, which is above the normal range of 7.35-7.45, and the HCO3 is 32 mEq/L, which is above the normal range of 22-26 mEq/L.
Choice B reason: Respiratory acidosis is characterized by a high CO2 level and a low pH, which is not the case here as the CO2 is normal and the pH is high.
Choice C reason: Respiratory alkalosis typically presents with a low CO2 level and a high pH. Since the CO2 is normal, this condition does not fit the patient's ABG results.
Choice D reason: Metabolic acidosis would present with a low pH and a low HCO3 level. Given that both the pH and HCO3 are high, metabolic acidosis is not the correct diagnosis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.