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What is the rational for administering calcium carbonate to a client with chronic renal failure?

Decreases the chance of peptic ulcer formation

Prevents constipation.

increases the tubular excretion of potassium

To lower phosphorus level

Answer and Explanation

The Correct Answer is D

A. Decreases the chance of peptic ulcer formation: Calcium carbonate is not an antiulcer medication.

B. Prevents constipation: Calcium carbonate can cause constipation, not prevent it.

C. Increases the tubular excretion of potassium: Calcium carbonate does not directly affect potassium excretion.

D. To lower phosphorus levels: Calcium carbonate is a phosphate binder that reduces phosphorus absorption from food. In chronic renal failure, phosphorus builds up due to decreased kidney excretion, leading to secondary hyperparathyroidism and bone disease (renal osteodystrophy).

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Correct Answer is B

Explanation

A. Provide water for a client diagnosed with chronic kidney disease: Fluid intake must be controlled in CKD. A nurse should determine if water intake is appropriate.

B. Instruct the client on appropriate fluid restrictions: Client education is a nursing responsibility and cannot be delegated to a UAP. The nurse should educate clients on fluid restrictions in conditions like chronic kidney disease (CKD) to prevent fluid overload and electrolyte imbalances.

C. Measure the client’s output from the indwelling catheter: This task can be delegated to a UAP.

D. Record the client’s intake and output in the EMR: UAPs can record I&O but cannot interpret the data.

A. Diarrhea B. Shivering C. Hypotension D. Vomiting

Correct Answer is B

Explanation

A. Diarrhea: Diarrhea is not a common side effect of cooling therapy and does not indicate a need to stop treatment.

B. Shivering: Shivering counteracts the cooling effect of the blanket, increasing body temperature and metabolic demand. This indicates the treatment is ineffective and needs adjustment.

C. Hypotension: While cooling can cause vasodilation and lower blood pressure, mild hypotension does not immediately necessitate stopping treatment.

D. Vomiting: Vomiting may be due to fever-related illness but is not a direct indicator that cooling should be stopped.

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What is the rational for administering calcium carbonate to a client with chronic renal failure?

Nursing Test Bank

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