Author Question: The patient is receiving spironolactone (Aldactone). The nurse has completed dietary education and ... (Read 89 times)

javeds · **on:** Jul 23, 2018

The patient is receiving spironolactone (Aldactone). The nurse has completed dietary education and evaluates that the patient needs additional education when the patient makes which statement?

1. I am really happy that I can have my cranberry juice.
2. Thank goodness I can still have my orange juice and bananas for breakfast.
3. I need an apple a day to stay regular; I'm glad I can still have this.
4. I am German, so I could not give up my cabbage and mushrooms.

Question 2

The elderly patient is receiving chlorothiazide (Diuril). What does the best teaching by the nurse include with this medication?

1. Take the medication early in the morning.
2. Avoid foods that are high in potassium.
3. It is alright to have a glass of wine with this medication.
4. Take the medication on an empty stomach.

brittrenee · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale: Orange juice and bananas are high in potassium, and are contraindicated with a potassium-sparing diuretic. Cranberries are low in potassium and are not contraindicated with a potassium-sparing diuretic. Cabbage and mushrooms are low in potassium and are not contraindicated with a potassium-sparing diuretic. Apples are low in potassium and are not contraindicated with a potassium-sparing diuretic.

Answer to Question 2

Correct Answer: 1
Rationale: Elderly patients should take diuretics early in the morning to avoid nocturia. Absorption of chlorothiazide (Diuril) is decreased when taken on an empty stomach. Chlorothiazide (Diuril) is a potassium excreting drug and foods high in potassium should be encouraged. Alcohol can potentiate the hypotensive effects of chlorothiazide (Diuril) and should be avoided, especially in the elderly.