NCLEX-PN

Category - Pharmacological Therapies

A client with gastroesophageal reflux disease is prescribed magnesium hydroxide (Milk of Magnesia) and aluminum hydroxide (Amphojel). The client asks the nurse why there is a need to take 2 medications at the same time. Which of the following responses by the nurse is the most appropriate?
  1. “Both antacids relieve symptoms by further decreasing your gastric pH.”
  2. “Intake of both antacids results in better gastric acid secretion control.”
  3. “Magnesium hydroxide causes diarrhea. You need aluminum hydroxide to prevent this side effect.”
  4. “Magnesium hydroxide’s most common side effect is constipation. You need aluminum hydroxide to prevent this side effect.”
Explanation
Answer: D - Magnesium hydroxide’s most common side effect is diarrhea. It is commonly administered with aluminum hydroxide to assist in preventing diarrhea. The goal of antacid therapy is to increase the gastric pH above 5.
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