A patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder. What should the nurse explain regarding the action of that Amphojel?
Increases the appetite
Corrects the pH of the bowel
Calms the frequent upset stomach experienced by patients on dialysis
Binds with phosphorus to increase the serum calcium level
The Correct Answer is D
A. Increases the appetite: Aluminum hydroxide does not have an appetite-stimulating effect.
B. Corrects the pH of the bowel: Aluminum hydroxide does not directly alter bowel pH; it is used to bind phosphate.
C. Calms the frequent upset stomach experienced by patients on dialysis: Although aluminum hydroxide can reduce stomach acid, its primary use in this context is as a phosphate binder.
D. Binds with phosphorus to increase the serum calcium level: Aluminum hydroxide binds dietary phosphorus in the gastrointestinal tract, reducing serum phosphorus levels. This helps manage the calcium-phosphorus balance, preventing complications like bone demineralization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.
B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.
C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.
D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.
Correct Answer is D
Explanation
A. The sclera of the eye is yellow while on therapy: Yellowing of the sclera is not a common effect of phenazopyridine but may suggest liver dysfunction, which is not associated with this drug.
B. Urine will have a foul smell while taking this medication: Phenazopyridine does not cause urine to have a foul smell. It only changes the color.
C. Diarrhea and abdominal cramping are expected adverse effects: Gastrointestinal side effects are not typically associated with phenazopyridine.
D. Urine will appear reddish orange: Phenazopyridine, a urinary tract analgesic, can cause a reddish-orange discoloration of the urine, which is harmless but may stain clothing or contact lenses.
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