An older adult patient has a complex medical history that includes heart failure, type 1 diabetes, and diabetic nephropathy
The nurse has questioned a care provider's order for oral spironolactone because the patient's health problems would contribute to a high risk of A) metabolic acidosis.
B) hypocalcemia.
C) hemolytic anemia.
D) hyperkalemia.
D
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The presence of renal insufficiency is also a contraindication to the use of spironolactone because use of spironolactone may cause hyperkalemia through the inhibition of aldosterone and the subsequent retention of potassium. This patient does not face a greatly increased risk of anemia, hypocalcemia, or acidosis.
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