The client experiencing right-sided heart failure is prescribed digoxin and spironolactone (Aldactone). Which diet change should the nurse instruct the client to make?
1. Include oranges and bananas in the diet.
2. Eat spinach three times a week.
3. Limit sodium in the diet.
4. Take a diuretic before going to bed.
Answer: 3
1. Oranges and bananas are high in potassium. Aldactone is a potassium-sparing diuretic, so the client does not need to increase potassium in the diet.
2. The client taking anticoagulants needs to restrict spinach in the diet.
3. The client with heart failure should be instructed to limit sodium in the diet because sodium is responsible for retained fluid.
4. Since a diuretic promotes diuresis, the nurse should recommend that the client take the medication in the morning, so that sleep is not interrupted.
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