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Which finding is most concerning in a patient receiving spironolactone?

Magnesium is 2.0 mEq/L

Sodium Level is 136 mEq/L

Calcium is 10.1 mEq/L

Potassium Level is 6.1mEq/L

Answer and Explanation

The Correct Answer is D

(A) Magnesium is 2.0 mEq/L: Normal range (1.5-2.5 mEq/L), not concerning.

(B) Sodium Level is 136 mEq/L: Normal range (135-145 mEq/L), no immediate risk.

(C) Calcium is 10.1 mEq/L: Normal range (8.5-10.5 mEq/L), not a concern.

(D) Potassium Level is 6.1 mEq/L: Spironolactone is a potassium-sparing diuretic, and hyperkalemia can lead to life-threatening cardiac arrhythmias.

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Correct Answer is A

Explanation

(A) Tetany: Hypocalcemia increases neuromuscular excitability, leading to muscle cramps, spasms, and tetany (involuntary muscle contractions).

(B) Hypertension: Hypocalcemia does not directly cause hypertension; it may lead to hypotension.

(C) Constipation: Hypercalcemia, not hypocalcemia, causes constipation.

(D) Polyuria: Hypercalcemia leads to polyuria, while hypocalcemia does not.

A. Seizures B. Hyperreflexia C. Bradycardia D. Hypertension

Correct Answer is A

Explanation

(A) Seizures: Severe hyponatremia (Na+ < 120 mEq/L) can cause cerebral edema, leading to increased intracranial pressure and seizures.

(B) Hyperreflexia: More common in hypernatremia or hypocalcemia, not hyponatremia.

(C) Bradycardia: Severe hyponatremia usually causes tachycardia, not bradycardia.

(D) Hypertension: Hyponatremia often leads to hypotension due to fluid shifts.

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Which finding is most concerning in a patient receiving spironolactone?

Nursing Test Bank

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Correct Answer is A

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