A client is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance?
1. Increase intake of milk and milk products.
2. Restrict fluid intake to 1,000 mL/day.
3. Decrease foods high in potassium.
4. Decrease foods high in sodium.
Aldactone is a potassium-sparing diuretic often used to counteract potassium loss caused by other diuretics. If foods or fluids are ingested that are high in potassium, hyperkalemia may result and lead to cardiac arrhythmias. Increasing the intake of milk or milk products does not affect the potassium level. Restricting fluid may elevate all electrolytes due to extracellular fluid volume depletion. By increasing foods high in sodium, water would tend to be retained and so would dilute all electrolytes in the extracellular fluid compartment.
CN: Health promotion and maintenance; CL: Synthesize
小编寄语：A man can succeed in almost anything he has unlimited enthusiasm for.一个人几乎可以在任何他怀有无限热忱的事情上成功。