CRNE Canadian Registered Nurse

Category - Wellness

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A client is prescribed sodium bicarbonate to relieve heartburn occurring after meals. The nurse questions the order if the client has a history of:

Hypotension
Renal impairment
Immune deficiency
Constipation

Explanation

Answer: B - Sodium bicarbonate can cause systemic alkalosis in clients with renal impairment. Sodium bicarbonate must not be used in clients with hypertension and heart failure. Constipation is a common side effect of sodium bicarbonate, and it can be alleviated by increasing the fluid intake and fiber consumption.

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