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NCLEX-RN (Registered Nurse) Practice Exam · Question

A patient with a history of heart failure is prescribed a loop diuretic. Which electrolyte imbalance is the nurse most concerned about?

Loop diuretics often lead to potassium excretion, increasing the risk of hypokalemia, which can cause cardiac dysrhythmias.

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Question: A patient with a history of heart failure is prescribed a loop diuretic. Which electrolyte imbalance is the nurse most concerned about?

Answer options:

  • Hypernatremia
  • Hyperkalemia
  • Hypocalcemia ✅ Hypokalemia

Correct answer: Hypokalemia

Explanation: Loop diuretics often lead to potassium excretion, increasing the risk of hypokalemia, which can cause cardiac dysrhythmias.

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