A nurse is caring for several clients. Which client does the nurse assess most carefully for hyperkalemia?
a. Client with heart failure using a salt subs-titute
b. Client taking a thiazide diuretic for hypertension
c. Client taking nonsteroidal an-ti-inflammatory drugs daily
d. Client with type 2 diabetes taking an oral antidiabetic agent
A
Many salt substitutes are composed of potassium chloride. Heavy use can contribute to the de-velopment of hyperkalemia. The client should be taught to read labels and to choose a salt subs-titute that does not contain potassium. NSAIDs promote the retention of sodium but not potas-sium.
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