The nurse is assigned to care for a 31-year-old male with a past medical history significant for long-standing diabetes mellitus and hypertension. Current medications are metformin, furosemide, and captopril. Laboratory tests reveal serum potassium of 3.2 mEq/L, so the patient is started on spironolactone. The nurse provides education about which side effect of therapy?

Gynecomastia. This patient with a history of diabetes mellitus and hypertension presents with hypokalemia secondary to loop diuretic-mediated potassium wasting. The patient is started on spironolactone, which is associated with gynecomastia. Red man syndrome is seen with vancomycin infusion. Since spironolactone is a potassium-sparing diuretic, hyperkalemia rather than hypokalemia would be expected in this patient. Migraines are not associated with spironolactone.

The nurse is assigned to care for a 31-year-old male with a past ...

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Pharmacological and Parenteral Therapies
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Category: Pharmacological and Parenteral Therapies
Difficulty: 5

Topics: Cardiovascular Endocrine Medication and Blood Products Fluid and Electrolytes Nursing Interventions Patient Education Sexuality and Reproduction Tissue Integrity

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