A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

Fever

Urinary urgency

Incontinence

Gastrointestinal upset

Flank pain

Answer and Explanation

Correct Answer : A,B,E

Choice A reason: Fever can occur if the renal calculus leads to infection, which is a common complication associated with kidney stones.

Choice B reason: Urinary urgency is a symptom that can be associated with renal calculi, especially if the stones are

located in the lower part of the urinary tract.

Choice C reason: Incontinence is not typically a direct symptom of renal calculi, but it may occur secondary to other symptoms or complications.

Choice D reason: Gastrointestinal upset is not a common symptom of renal calculus, although some patients may experience nausea and vomiting.

Choice E reason: Flank pain is a classic symptom of renal calculus, often described as severe and colicky, radiating from the back towards the groin.

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Correct Answer is B

Explanation

Choice A reason: Aluminum hydroxide does not primarily lower serum calcium levels. Calcium levels are typically managed in CKD patients through other medications and dietary restrictions, as hypercalcemia can occur in these patients.

Choice B reason: Aluminum hydroxide acts as a phosphate binder, which helps to lower serum phosphorus levels in patients with CKD. This is important because high phosphorus levels can lead to bone and heart problems in these patients. The normal range for serum phosphorus is approximately 2.5 to 4.5 mg/dL.

Choice C reason: Aluminum hydroxide does not have a significant effect on serum potassium levels. In CKD, potassium levels are managed through diet and other medications due to the risk of hyperkalemia, which can be life- threatening.

Choice D reason: While magaldrate contains magnesium, which could potentially worsen hypermagnesemia in CKD patients, aluminum hydroxide does not lower serum magnesium levels. Instead, it is less likely to cause elevated magnesium levels compared to magaldrate.

A. Muscle spasms B. Constipation C. Headache D. Metallic taste

Correct Answer is B

Explanation

Choice A reason: Muscle spasms are not typically associated with aluminum hydroxide use.

Choice B reason: Constipation is a common adverse effect of aluminum hydroxide, especially when used as a

phosphate binder in clients with renal failure.

Choice C reason: Headaches are not commonly reported as an adverse effect of aluminum hydroxide.

Choice D reason: A metallic taste is not a common adverse effect associated with aluminum hydroxide.

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A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Correct Answer is B

Explanation

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