A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?
"Take the phosphate binders with a glass of milk for better absorption."
"Avoid taking the phosphate binders with meals to prevent stomach upset."
"Consume foods rich in vitamin D to enhance the effectiveness of the binders."
"Calcium-based phosphate binders may cause constipation, so drink plenty of fluids."
The Correct Answer is D
A. Incorrect. Calcium-based phosphate binders should not be taken with milk or calcium-rich foods, as this can lead to an excessive calcium load and increase the risk of hypercalcemia.
B. Incorrect. Calcium-based phosphate binders are most effective when taken with meals to bind to dietary phosphorus.
C. Incorrect. While vitamin D plays a role in calcium metabolism, its supplementation is not directly related to the use of calcium-based phosphate binders.
D. Correct. Constipation is a common side effect of calcium-based phosphate binders. Increasing fluid intake can help alleviate constipation and promote bowel regularity.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. While dietary modifications are often necessary in chronic renal failure, this response does not address the client's concerns about lifestyle impact.
B. Correct. Hemodialysis requires a significant time commitment, and clients must plan their activities around the dialysis schedule. It is important for the client to understand the need for regular dialysis sessions to manage their condition effectively.
C. Incorrect. While hemodialysis does require regular sessions, it should not necessarily limit a client's ability to travel or participate in social events. Many individuals on hemodialysis can adjust their activities and still engage in meaningful experiences.
D. Incorrect.
Physical activity is generally encouraged in clients with chronic renal failure, as it contributes to overall well-being. Hemodialysis may increase energy levels and improve the client's ability to engage in physical activity.
Correct Answer is B
Explanation
A. Incorrect. Pain medication is not typically administered for a GFR test as the test itself is not painful.
B. Correct. The GFR test is painless and non-invasive. It involves a blood test to measure creatinine levels and does not cause discomfort.
C. Incorrect. While relaxation techniques can be helpful for other procedures, they are not necessary for the GFR test as it does not cause discomfort.
D. Incorrect. Reassuring the client about the brief and tolerable nature of discomfort would be misleading, as the GFR test does not cause discomfort.
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