Spironolactone (Aldactone), an aldosterone antagonist, is ...

[corkyiscool3328]

Spironolactone (Aldactone), an aldosterone antagonist, is prescribed for a patient. Which statement by the patient indicates that the teaching about this medication has been effective?
 
  a. I will try to drink at least 8 glasses of water every day.
  b. I will use a salt substitute to decrease my sodium intake.
  c. I will increase my intake of potassium-containing foods.
  d. I will drink apple juice instead of orange juice for breakfast.

Question 2

A patient who is taking a potassium-wasting diuretic for treatment of hypertension complains of generalized weakness. It is most appropriate for the nurse to take which action?
 
  a. Assess for facial muscle spasms.
  b. Ask the patient about loose stools.
  c. Suggest that the patient avoid orange juice with meals.
  d. Ask the health care provider to order a basic metabolic panel.

[aburgess]

Answer to Question 1

ANS: D
Because spironolactone is a potassium-sparing diuretic, patients should be taught to choose low-potassium foods (e.g., apple juice) rather than foods that have higher levels of potassium (e.g., citrus fruits). Because the patient is using spironolactone as a diuretic, the nurse would not encourage the patient to increase fluid intake. Teach patients to avoid salt substitutes, which are high in potassium.

Answer to Question 2

ANS: D
Generalized weakness is a manifestation of hypokalemia. After the health care provider orders the metabolic panel, the nurse should check the potassium level. Facial muscle spasms might occur with hypocalcemia. Orange juice is high in potassium and would be advisable to drink if the patient was hypokalemic. Loose stools are associated with hyperkalemia.

[corkyiscool3328]

Correct answers!

[aburgess]

Great! Please up vote