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What is the rational for administering calcium carbonate to a client with chronic renal failure?

Decreases the chance of peptic ulcer formation

Prevents constipation.

increases the tubular excretion of potassium

To lower phosphorus level

Answer and Explanation

The Correct Answer is D

A. Decreases the chance of peptic ulcer formation: Calcium carbonate is not an antiulcer medication.

B. Prevents constipation: Calcium carbonate can cause constipation, not prevent it.

C. Increases the tubular excretion of potassium: Calcium carbonate does not directly affect potassium excretion.

D. To lower phosphorus levels: Calcium carbonate is a phosphate binder that reduces phosphorus absorption from food. In chronic renal failure, phosphorus builds up due to decreased kidney excretion, leading to secondary hyperparathyroidism and bone disease (renal osteodystrophy).

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Correct Answer is ["1370"]

Explanation

To calculate total output, we sum all recorded outputs:

Urine output:
- 400 mL + 350 mL = 750 mL
Chest tube drainage:
- 175 mL (current) - 155 mL (previous) = 20 mL
Nasogastric tube drainage: 575 mL
Jackson-Pratt drain output: 25 mL

Total Output = 750 + 20 + 575 + 25 = 1,370 mL

Correct Answer: 1,370 mL

A. Milk and organ meats. B. Cheese, lunch meats, and canned vegetables C. Alcohol and fried foods D. Green leafy vegetables and salt sub

Correct Answer is B

Explanation

A. Milk and organ meats. These foods do not contain excessive sodium.

B. Cheese, lunch meats, and canned vegetables: These foods are high in sodium, which can worsen hypernatremia by increasing serum sodium levels. Processed meats and canned vegetables contain excess salt and preservatives.

C. Alcohol and fried foods. Alcohol can cause dehydration, but not necessarily high sodium levels.

D. Green leafy vegetables and salt substitutes. Green leafy vegetables are low in sodium, and some salt substitutes contain potassium, not sodium.

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What is the rational for administering calcium carbonate to a client with chronic renal failure?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["1370"]

Explanation

The nurse is teaching the client with hypernatremia about dietary restrictions. Which foods would the nurse tell them to avoid?

Correct Answer is B

Explanation

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