Author Question: A child with chronic renal failure does not want to take the prescribed aluminum hydroxide gel ... (Read 89 times)

darbym82 · **on:** Jun 27, 2018

A child with chronic renal failure does not want to take the prescribed aluminum hydroxide gel because of the taste. What should the nurse tell the patient about the purpose of this medication?

A) Prevents an upset stomach
B) Assists with the absorption of calcium
C) Assists with elimination of potassium
D) Reduces absorption of phosphorus from the GI tract

Question 2

The nurse is caring for a child experiencing hyperkalemia from renal failure. What should the nurse prepare to administer to this patient?

A) Milk
B) Fruit juice
C) Glucose and insulin
D) Sodium and increased fluid

karlss · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
Children with chronic renal failure are generally placed on a diet to prevent rapid urea and phosphate buildup. Children may be prescribed aluminum hydroxide gel to take with meals to bind phosphorus in the intestines and prevent absorption of phosphorus from foods. This medication is not being given to the patient to prevent an upset stomach. This medication does not assist with the absorption of calcium or the elimination of potassium.

Answer to Question 2

C
Feedback:
Administration of intravenous glucose and insulin helps to remove excess potassium. The insulin helps the glucose move into the cells, and potassium moves along with it. Intravenous calcium gluconate, and not milk, can also be used to remove excess potassium. Fruit juice has no effect on potassium level and might cause it to increase. Sodium bicarbonate, and not sodium, and increased fluid also help to remove excess potassium.