An adult male client with chronic kidney disease (CKD) is receiving aluminum hydroxide (Amphojel). He tells the nurse that since he does not have indigestion there is no need for him to take the antacid with his meals. Which response is best for the nurse to provide?
I will withhold the antacid for now, and if you get indigestion, I will bring it back.
CKD stresses your body to over-secrete gastric juices, and antacids help neutralize them.
Your serum phosphate levels are up, and aluminum antacids prevent absorption of phosphates in foods.
OK, I will let your healthcare provider know that you do not need the antacid.
The Correct Answer is C
Choice A: Withholding the antacid until the client gets indigestion is not appropriate because the primary purpose of aluminum hydroxide in CKD is to bind to phosphates in foods and reduce their absorption. It is not primarily used for indigestion.
Choice B: While CKD can lead to disturbances in gastric acid secretion, aluminum antacids are primarily used in CKD to control hyperphosphatemia by binding to phosphates in the gastrointestinal tract. Their role is not primarily related to gastric acid control.
Choice C: This response provides the most appropriate rationale. Aluminum antacids are often prescribed to CKD clients to prevent the absorption of dietary phosphates, which can contribute to hyperphosphatemia in CKD.
Choice D: Simply informing the healthcare provider that the client does not want to take the antacid is not the most informative response, as it does not address the rationale behind the medication use in CKD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Teaching clients about the potential side effects of antipsychotic drugs is important, but it is not the most critical aspect of medication administration policy. Monitoring for side effects and adverse reactions is typically the responsibility of healthcare providers and nursing staff.
Choice B: Monitoring all clients receiving antipsychotic drugs for indications of tardive dyskinesia is a crucial standard to include in the policy. Tardive dyskinesia is a serious side effect associated with long-term use of antipsychotic medications, and early detection and intervention are essential to prevent its progression.
Choice C: Ensuring that all clients treated with antipsychotic drugs receive prompt renewals as needed is important for continuity of care, but it is not the primary focus of a policy for administering antipsychotic medications.
Choice D: Documenting all client therapeutic serum levels related to antipsychotic medications is relevant but may not apply to all clients receiving these medications. Monitoring for side effects and adverse reactions is generally more universally applicable and critical to patient safety.
Correct Answer is C
Explanation
Choice A: Cheese products are not part of a vegan diet as they come from animal sources (dairy).
Choice B: Egg white products are also not part of a vegan diet as they come from animal sources (eggs).
Choice C: Soybean products, such as tofu and tempeh, are commonly recommended for vegans to enhance their nutritional intake. These products are rich in protein, calcium, and other nutrients and can be used as meat or dairy substitutes in various recipes.
Choice D: Shellfish products are not part of a vegan diet as they come from animal sources (shellfish).
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