A client is prescribed calcium carbonate for GERD.

After reviewing the client’s chart, which potential risk does the nurse identify for the client?

Hypercalcemia

Metabolic Alkalosis

Hepatotoxicity

Hyperphosphatemia

Answer and Explanation

The Correct Answer is A

Choice A rationale
This choice is correct. Calcium carbonate, which is used to treat GERD, can lead to hypercalcemia, or high levels of calcium in the blood, if taken in excess or if the client has impaired kidney function. Hypercalcemia can cause various symptoms, including nausea, vomiting, constipation, and abdominal pain. It can also affect the nervous system, leading to confusion, lethargy, and fatigue. In severe cases, it can cause cardiac arrhythmias.
Choice B rationale
Metabolic alkalosis is a condition characterized by a high level of bicarbonate in the blood, leading to an increase in blood pH. While antacids like calcium carbonate can potentially cause metabolic alkalosis if taken in large amounts, it is less likely to occur in patients taking the medication for GERD, as the medication is used to neutralize stomach acid. Therefore, while it’s a potential risk, it’s less likely than hypercalcemia.
Choice C rationale
Hepatotoxicity, or liver damage, is not typically associated with the use of calcium carbonate. This medication does not have a direct effect on the liver, so it’s unlikely to cause hepatotoxicity unless the client has an underlying liver condition or is taking other medications that can cause liver damage.
Choice D rationale
Hyperphosphatemia, or high levels of phosphate in the blood, is not typically a risk associated with the use of calcium carbonate. In fact, calcium carbonate can bind to phosphate in the gut and reduce phosphate absorption, which can help manage high phosphate levels in certain conditions. Therefore, this choice is not the most likely risk for the client.

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Correct Answer is A

Explanation

Choice A rationale
Misoprostol is a medication that can help protect the stomach lining and reduce the risk of gastric irritation and ulcers caused by NSAIDs.
Choice B rationale
Ranitidine is a type of antacid that can help reduce stomach acid and relieve symptoms of heartburn, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice C rationale
Sucralfate is a medication that can help treat and prevent ulcers in the stomach and intestines, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice D rationale
Esomeprazole is a proton pump inhibitor that can reduce stomach acid and relieve symptoms of gastroesophageal reflux disease (GERD), but it does not specifically protect the stomach lining from the effects of NSAIDs. Prednisone Prednisone Explore

A. Fluid retention B. Osteoporosis C. Adrenal insufficiency D. Gastrointestinal bleeding

Correct Answer is B

Explanation

Choice A rationale
Fluid retention is a common side effect of prednisone, but it is not directly associated with compression fractures of the vertebrae.
Choice B rationale
Long-term use of prednisone can lead to osteoporosis, a condition that weakens bones and makes them more likely to break. Osteoporosis can increase the risk of fractures, including compression fractures of the vertebrae. This is likely the adverse effect of prednisone that is most associated with the client’s findings.
Choice C rationale
Adrenal insufficiency is a potential side effect of long-term prednisone use. However, it is not directly linked to compression fractures of the vertebrae.
Choice D rationale
While gastrointestinal bleeding can occur with prednisone use, it is not directly related to compression fractures of the vertebrae.

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A client is prescribed calcium carbonate for GERD. After reviewing the client’s chart, which potential risk does the nurse identify for the client?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with rheumatoid arthritis who is on high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) for joint pain relief. The patient expresses concerns about gastric irritation. What medication could the nurse suggest to the physician to alleviate gastric irritation?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A client is prescribed calcium carbonate for GERD.

After reviewing the client’s chart, which potential risk does the nurse identify for the client?