Gastrointestinal Question #22


The nurse is caring for a client with a diagnosis of cirrhosis of the liver. The client’s abdominal girth is significantly larger than the previous two days, and the diuretic spironolactone is prescribed by the health care provider. The nurse will monitor for which drug-related adverse effect?


  1. Hypokalemia
    • Rationale:
  2. Hyperkalemia
    • Rationale:
  3. Hyperlipidemia
    • Rationale:
  4. Hyperglycemia
    • Rationale:



Spironolactone is a potassium-sparing diuretic and clients taking it should be monitored for hyperkalemia. Cardiac involvement may occur because of hyperkalemia. The other options are not side effects of spironolactone.

Learning Outcomes

Test Taking Tip

Video Rationale