10. Teaching for a client starting on spironolactone (Aldactone) should include:
. The importance of removing the patch at bedtime.
. Food sources to replace lost potassium.
. The purpose of this drug is to prevent fibrosis in the heart.
. Taking the medication just before bed.
Test-Taking Tip
Three of the options focus on administration and adverse effects of the medication. Only one option states a desired outcome. Choose the option that is different. Review the common classifications of diuretics—thiazides, loop, and potassium-sparing—and know examples for each type.
Content Area: Adult Health, Cardiology; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration
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Answer 1 is incorrect because this diuretic is taken in pill form. Answer 2 is incorrect because spironolactone is a potassium-sparing diuretic. Supplemental potassium is not advised. Answer 3 is correct because spironolactone has antiproliferative effects and prevents fibrotic remodeling of heart tissue. It is the only diuretic that reduces mortality in heart failure. Answer 4 is incorrect because generally diuretics are taken in the morning to prevent having to wake up from sleep to urinate.