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?

Constipation

Muscle spasms

Metallic taste

Headache

Answer and Explanation

The Correct Answer is A

A.   Constipation is a common adverse effect of aluminum hydroxide, an antacid often used to bind phosphate in patients with renal failure to prevent hyperphosphatemia.
B.   Muscle spasms are not typically associated with aluminum hydroxide.
C.   Metallic taste is not a common adverse effect of aluminum hydroxide.
D.   Headache is not a common adverse effect of aluminum hydroxide.

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Correct Answer is B

Explanation

A. Normal calcium levels are not indicative of hypoparathyroidism.
B. A manifestation of hypoparathyroidism would be a high phosphate level due to the low production of parathyroid hormone, which is responsible for regulating calcium and phosphate levels. It leads to reduced phosphate excretion.
C. Low magnesium levels are not indicative of hypoparathyroidism.
D. Normal vitamin D levels are not indicative of hypoparathyroidism.

A. Pathologic fractures B. Impaired skin integrity C. Fluid retention D. Dysphagia

Correct Answer is A

Explanation

A. Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
B. This is not directly associated with hyperparathyroidism.
C. Hyperparathyroidism typically leads to hypercalcemia, which can result in polyuria and dehydration rather than fluid retention.
D. This is not directly associated with hyperparathyroidism.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

Correct Answer is A

Explanation

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