Mr. K is a 58-year-old client at the community clinic for a routine visit. During triage, the nurse asked about any new problems and he mentioned that he has been having leg cramps that are worse at night
A review of current medications included metoprolol and Lasix for hypertension, and terazosin for benign prostatic hypertrophy. Based on this information, the most probable cause of leg cramps would be: 1. Hypokalemia.
2. Folate deficiency.
3. Iron deficiency.
4. Vitamin D deficiency.
1
Rationale: Clients taking loop diuretics, in this case lasix, are at increased risk for loss of potassium resulting in hypokalemia. Folate is lost with excessive use of alcohol. Iron is lost during chelation with certain antibiotics. Vitamins D levels can be decreased in clients using anticonvulsant medication.
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