The client is prescribed a potassium supplement and spironolactone (Aldactone). Based on this combination, what outcome does the nurse expect?
1. The two medications will be ineffective if taken together.
2. Spironolactone (Aldactone) will lower potassium levels, so a supplement is necessary.
3. These two medications will decrease potassium levels.
4. The client is at risk for hyperkalemia when taking both the supplement and spironolactone (Aldactone).
Correct Answer: 4
Rationale 1: The two medications will cause hyperkalemia if taken together.
Rationale 2: Spironolactone (Aldactone) will increase potassium levels.
Rationale 3: These two medications will increase potassium levels.
Rationale 4: Unlike with loop and thiazide diuretics, patients taking potassium-sparing diuretics should not take potassium supplements, and should not add potassium-rich foods to their diet.
Global Rationale: Unlike with loop and thiazide diuretics, patients taking potassium-sparing diuretics should not take potassium supplements, and should not add potassium-rich foods to their diet. The two medications will cause hyperkalemia if taken together. Spironolactone (Aldactone) will increase potassium levels. These two medications will increase potassium levels.
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