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. Level of fluid intake: While monitoring fluid intake is important, bowel sounds are more critical immediately after surgery to detect potential paralytic ileus or other complications.
B. Keep the bed flat: Postoperative positioning depends on the type of surgery and is not universally necessary.
C. Position on the left side: There is no specific need to position the patient on the left side postoperatively unless otherwise indicated.
D. Bowel sounds: Assessing bowel sounds is crucial to monitor for postoperative complications such as ileus.
Correct Answer is A
Explanation
A. Document normal findings: Pink-tinged urine is expected after a cystoscopy due to minor trauma to the urethra or bladder during the procedure.
B. Contact the Rapid Response Team: Pink-tinged urine does not indicate a medical emergency requiring the Rapid Response Team.
C. Promptly notify the healthcare provider: This finding does not require immediate notification unless accompanied by significant bleeding, clots, or other abnormal symptoms.
D. Restrict fluids: Increasing fluid intake helps flush the urinary tract and reduce irritation after a cystoscopy.
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