High School

Which prescription should the nurse question when a client is receiving spironolactone 25 mg by mouth daily?

1. Digoxin 0.125 mg by IVP daily
2. Potassium chloride 40 mEq orally t.i.d.
3. Cimetidine 200 mg IVPB q6h
4. Metoprolol 100 mg p.o. daily

Answer :

Final answer:

The nurse should question the prescription of potassium chloride 40 mEq orally t.i.d. when a client is receiving spironolactone 25 mg by mouth daily.

Explanation:

The nurse should question the prescription of potassium chloride 40 mEq orally t.i.d. when a client is receiving spironolactone 25 mg by mouth daily. Spironolactone is a potassium-sparing diuretic, which means it helps retain potassium and can increase the potassium levels in the body. Prescribing additional potassium chloride alongside spironolactone could potentially lead to hyperkalemia, a condition of elevated potassium levels in the bloodstream which can be dangerous. Therefore, it is important for the nurse to double-check and clarify this prescription with the healthcare provider.

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