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
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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Related Questions
Correct Answer is B
Explanation
A. Having the client place their head between their knees is a measure used to alleviate symptoms associated with hyperventilation but does not directly address the underlying respiratory alkalosis.
B. Having the client breathe into a paper bag helps retain carbon dioxide, which can help reverse respiratory alkalosis by increasing PaCO2 levels and subsequently decreasing pH.
C. Administering sodium bicarbonate would worsen alkalosis by further increasing the pH and bicarbonate levels.
D. Administering insulin is not indicated for respiratory alkalosis and hyperventilation.
Correct Answer is A
Explanation
A. Certain malignancies, particularly lung cancer, can produce ectopic antidiuretic hormone (ADH) or ADH-like substances, leading to SIADH. It's important to inquire about a history of lung cancer due to its association with SIADH.
B. Osteoarthritis is a degenerative joint disease and is not known to cause SIADH.
C. Dyspepsia refers to upper gastrointestinal discomfort and is not associated with SIADH.
D. Liver cirrhosis can lead to various complications, including hepatic encephalopathy and ascites, but it is not typically associated with SIADH.
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