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
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oliguria: Reduced urine output (oliguria) can indicate acute rejection due to decreased renal function. Other signs include fever, hypertension, graft tenderness, and swelling.
B. Temperature 36.1° C (97.0° F): Rejection often causes fever, not a low temperature.
C. Weight loss: Weight gain (fluid retention) is more common with rejection.
D. Insomnia: Insomnia is not a direct sign of rejection.
Correct Answer is D
Explanation
A. Respiratory Alkalosis: Alkalosis results from hyperventilation, which is not expected with thoracic trauma.
B. Metabolic Acidosis: Metabolic acidosis occurs due to renal failure, lactic acidosis, or diarrhea, not thoracic trauma.
C. Metabolic Alkalosis: Alkalosis can result from vomiting or excessive bicarbonate intake, not respiratory failure.
D. Respiratory Acidosis: Severe thoracic trauma can impair lung expansion, leading to hypoventilation and CO₂ retention, causing respiratory acidosis.
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