A client is prescribed milk of magnesia.

After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?

Hyponatremia

Hypermagnesemia

Hypokalemia

Hypercalcemia .

Answer and Explanation

The Correct Answer is B

Choice A rationale
Hyponatremia, or low sodium levels, is not typically associated with the use of milk of magnesia. Milk of magnesia works by drawing water into the intestines, which can help to soften the stool and stimulate bowel movements. While it can affect fluid balance, it does not directly affect sodium levels in the body.
Choice B rationale
This choice is correct. Milk of magnesia contains magnesium and can lead to hypermagnesemia, or high magnesium levels, if taken in excess or if the client has impaired kidney function. Hypermagnesemia can cause various symptoms, including nausea, vomiting, low blood pressure, and in severe cases, heart arrhythmias and cardiac arrest.
Choice C rationale
Hypokalemia, or low potassium levels, is not typically associated with the use of milk of magnesia. While milk of magnesia can affect fluid and electrolyte balance, it does not directly affect potassium levels in the body.
Choice D rationale
Hypercalcemia, or high calcium levels, is not typically associated with the use of milk of magnesia. Milk of magnesia does not contain calcium, so it would not contribute to an increase in calcium levels in the body.

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Correct Answer is C

Explanation

Choice A rationale
While aromatherapy sprays can provide a calming environment, there is limited evidence to suggest that they can effectively reduce chemotherapy-induced nausea and vomiting.
Choice B rationale
Physical activity like a brisk walk outside can be beneficial for overall health, but it may not directly help in reducing nausea and vomiting caused by chemotherapy.
Choice C rationale
Avoiding well-seasoned, spicy, and fatty foods can help reduce nausea and vomiting during chemotherapy. These types of foods can irritate the stomach and make nausea worse.
Choice D rationale
Drinking a warm glass of milk may not be helpful in reducing chemotherapy-induced nausea and vomiting. In fact, dairy products can sometimes exacerbate nausea.

A. The patient complains of a persistent cough. B. The patient denies experiencing a sour taste in their mouth. C. The pH level of the patient’s stomach is measured at 5. D. The patient reports experiencing headaches.

Correct Answer is C

Explanation

Choice A rationale
A persistent cough is not directly related to the administration of famotidine. Famotidine is a histamine-2 blocker that works by decreasing the amount of acid the stomach produces. It is used to treat and prevent ulcers in the stomach and intestines and to treat conditions in which the stomach produces too much acid. A persistent cough could be a symptom of many other conditions, but it is not a direct indicator of the effectiveness or ineffectiveness of famotidine.
Choice B rationale
The absence of a sour taste in the mouth, often associated with acid reflux, could suggest that famotidine is working as it should. However, the absence of a sour taste does not definitively indicate that the medication has had its intended effect, as the patient may not have experienced this symptom even before taking the medication.
Choice C rationale
Famotidine is used to decrease the amount of acid in the stomach. A normal stomach pH is typically around 1.5 to 3.5, which is highly acidic. If a patient’s stomach pH is measured at 5, which is less acidic than normal, it could suggest that the famotidine has not had its intended effect of reducing stomach acid.
Choice D rationale
While headaches are listed as a common side effect of famotidine, the presence of headaches does not necessarily suggest that the medication has not had its intended effect. Headaches could be caused by a variety of factors and are not a direct indicator of the level of stomach acid or the effectiveness of famotidine.

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A client is prescribed milk of magnesia. After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is currently receiving chemotherapy and is experiencing nausea and vomiting. What should the nurse teach the patient to help reduce the nausea and vomiting?

Correct Answer is C

Explanation

A patient has been administered famotidine. Which observation would suggest that the medication has not had its intended effect?

Correct Answer is C

Explanation

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A client is prescribed milk of magnesia.

After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?