A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?

A. "I can expect my eyelids to be bruised after this procedure": Bruising of the eyelids is not a common expectation following cataract removal surgery. While mild redness or irritation may occur, significant bruising is not typical.
B. "I will see dark spots in my vision after this procedure": Seeing dark spots in vision after cataract removal surgery is not expected. The purpose of cataract surgery is to improve vision by removing the cloudy lens and replacing it with a clear artificial lens. Dark spots in vision may indicate complications such as retinal detachment, which should be promptly reported to the healthcare provider.
C. "I will receive general anesthesia for this procedure": Cataract removal surgery typically does not require general anesthesia. Instead, it is commonly performed under local anesthesia with sedation. General anesthesia is reserved for more complex or high-risk procedures. Therefore, this statement indicates a misunderstanding of the anesthesia type for cataract surgery.
D. "I know the provider will replace the lens in my eyes during this procedure": This statement indicates an accurate understanding of the cataract removal procedure. During cataract surgery, the cloudy natural lens of the eye is removed and replaced with an artificial intraocular lens (IOL) to restore vision. This is the primary goal of the surgery, and the statement reflects the client's understanding of the procedure.

A. Iron: Iron supplements are not typically contraindicated with spironolactone use. Spironolactone is a potassium-sparing diuretic and may lead to hyperkalemia, but iron supplements are not directly associated with this risk.
B. Calcium: Calcium supplements are not typically contraindicated with spironolactone use. However, calcium supplements should be taken separately from spironolactone to avoid potential interactions that may reduce the absorption of both medications.
C. Magnesium: Magnesium supplements are not typically contraindicated with spironolactone use. However, magnesium-containing antacids should be used with caution due to the potential for increased magnesium levels in the body, especially in individuals with impaired renal function.
D. Potassium: Spironolactone is a potassium-sparing diuretic, meaning it helps retain potassium in the body. Concurrent use of potassium supplements or foods high in potassium can lead to hyperkalemia when combined with spironolactone. Therefore, the client should avoid potassium supplements while taking spironolactone to prevent this risk.