Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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The nurse is teaching parents of a patient with chronic renal failure (CRF) about medication. The mother questions the purpose of aluminum hydroxide (Amphojel) in the child’s medication regimen. What is the best explanation for the nurse to give the mother about the therapeutic effects of this medication?
  1. It will reduce serum calcium
  2. It decreases serum phosphate
  3. Amphojel increases urine output
  4. The drug is taken to control gastric acid secretion
Explanation
Answer - B - The best explanation for the nurse to give the mother about the therapeutic effects of this medication is that it decreases serum phosphate. Aluminum binds phosphates that tend to accumulate in the patient with chronic renal failure due to decreased filtration capacity of the kidney. Antacids such as Amphojel are commonly used to accomplish this.
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