A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which diuretic agent ordered by the prescriber should the nurse question?
A) Bumetanide [Bumex]
B) Furosemide [Lasix]
C) Spironolactone [Aldactone]
D) Hydrochlorothiazide [HydroDIURIL]

Question

Quizplus · Accepted Answer

Spironolactone is a non-potassium-wasting diuretic; therefore, if the patient has a serum potassium level of 6 mEq/L, indicating hyperkalemia, an order for this drug should be questioned. Bumetanide, furosemide, and hydrochlorothiazide are potassium-wasting diuretics and would be appropriate to administer in a patient with hyperkalemia.

A Patient Has 2+ Pitting Edema of the Lower Extremities