Spironolactone response
Question
An adult takes prescribed spironolactone for fluid retention and hypertension. The nurse reviews possible responses. Sort each as a desired treatment effect or a potential adverse effect.
Desired treatment effect
- Less swelling in the legs
- Lower blood pressure toward the treatment goal
Potential adverse effect
- Elevated serum potassium
- Dehydration
Answer
Desired treatment effect: Less swelling in the legs; Lower blood pressure toward the treatment goal · Potential adverse effect: Elevated serum potassium; Dehydration
Rationale
Spironolactone can reduce edema and blood pressure. Potassium elevation and dehydration are unwanted responses that require monitoring.
Sources
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