A patient with heart failure develops hyperaldosteronism and is prescribed spironolactone.What instructions should the nurse include in the patient’s care plan?

Choice A rationaleWhile salt substitutes can be a good option for some patients with heart failure, they are often high in potassium. Because spironolactone is a potassium-sparing diuretic, using a salt substitute could lead to dangerously high levels of potassium.Choice B rationaleProtecting your skin before going outside is generally good advice, but it’s not specifically related to the use of spironolactone.Choice C rationaleSpironolactone is a potassium-sparing diuretic, which means it can cause the body to retain potassium. Therefore, patients taking spironolactone should limit their intake of high- potassium foods to prevent hyperkalemia.Choice D rationaleWhile it’s always important to monitor for side effects when taking a new medication, excessive bruising is not a common side effect of spironolactone.