A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Calcium.

Potassium.

Phosphate.

pH.

Answer and Explanation

The Correct Answer is C

Choice A reason: Calcium acetate is used to bind phosphate in the gastrointestinal tract to reduce phosphate absorption, which is often elevated in clients with CKD. A decrease in serum calcium is not the intended effect of this medication.

Choice B reason: Potassium levels are not directly affected by calcium acetate. This medication specifically targets phosphate binding.

Choice C reason: A decrease in phosphate levels indicates that calcium acetate is effectively binding phosphate and reducing its absorption from the diet. This is the desired effect, as elevated phosphate levels can lead to complications in CKD.

Choice D reason: The pH of the blood is not directly influenced by calcium acetate. The primary purpose of this medication is to manage phosphate levels, not to alter blood pH.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Decreased appetite is a common symptom of hypothyroidism. The reduced metabolic rate associated with low thyroid hormone levels can lead to a lack of hunger and reduced food intake, contributing to weight gain despite a lower calorie intake.

Choice B reason: Restlessness is not a typical symptom of hypothyroidism. In fact, hypothyroidism often causes fatigue, lethargy, and a general slowing down of mental and physical processes rather than restlessness or hyperactivity.

Choice C reason: Intolerance to cold is a hallmark symptom of hypothyroidism. The decreased metabolic rate results in reduced heat production, making individuals more sensitive to cold temperatures and often leading them to feel cold even in warm environments.

Choice D reason: Constipation is a common symptom of hypothyroidism. The slowed metabolism affects the gastrointestinal system, reducing the movement of the intestines and leading to infrequent and difficult bowel movements.

A. Bronchitis. B. Hypertension. C. Diabetes mellitus. D. Hypercholesterolemia.

Correct Answer is B

Explanation

Choice A reason: Bronchitis is not typically a contraindication for the use of methylphenidate. This medication primarily affects the central nervous system and has no direct impact on bronchitis.

Choice B reason: Hypertension is a critical condition to review before administering methylphenidate because this medication can increase blood pressure. Clients with pre-existing hypertension may be at risk for exacerbation of their condition, requiring careful monitoring and dosage adjustments.

Choice C reason: Diabetes mellitus does not present a direct contraindication for the use of methylphenidate. However, clients with diabetes should be monitored for any changes in blood glucose levels, as the stress response and changes in appetite can indirectly impact diabetes management.

Choice D reason: Hypercholesterolemia is not a primary concern when prescribing methylphenidate. While general health and cardiovascular risk factors should always be considered, hypercholesterolemia does not directly contraindicate the use of this medication.

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A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are the signs and symptoms of hypothyroidism?

Correct Answer is ["A","C","D"]

Explanation

A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

Correct Answer is B

Explanation

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