FINAL MED SURG NEW PRACTICE QUESTION AND ANSWERS DOCS 2022

The nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following? 1. Serum phosphorus levels 2. Serum potassium levels 3. Serum magnesium levels 4. Serum calcium levels - CORRECT ANSWER 1. Serum phosphorus levels The nurse is reviewing the medical record of a client who has a urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor? 1. COPD 2. Diabetes mellitus 3. Anemia 4. Osteoporosis - CORRECT ANSWER 2. Diabetes mellitus The nurse is providing dietary teaching to a client who has frequent kidney stones. Which of the following instructions should the nurse include in the teaching? 1. "Limit your intake of dairy products." 2. "Increase the amount of protein in your diet." 3. "Avoid eating tree nuts, such as almonds." 4. "Take a vitamin C supplement twice daily." - CORRECT ANSWER 3. "Avoid eating tree nuts, such as almonds." The nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis? 1. Hyperactive bowel sounds 2. Nausea and vomiting 3. Bradycardia 4. Increased urinary output