A patient with Stage C heart failure (HF) who has been taking an ACE inhibitor, a beta blocker, and a diuretic begins to have increased dyspnea, weight gain, and decreased urine output. The provider orders spironolactone [Aldactone]. The nurse will instruct the patient to:
A) avoid potassium supplements.
B) monitor for a decreased heart rate.
C) take extra fluids.
D) use a salt substitute instead of salt.

Question

Quizplus · Accepted Answer

Spironolactone is added to therapy for patients with worsening symptoms of HF. Because spironolactone is a potassium-sparing diuretic, patients should not take supplemental potassium. Patients taking digoxin need to monitor their heart rate. Extra fluids are not indicated. Salt substitutes contain potassium.

A Patient with Stage C Heart Failure (HF) Who Has