Author Question: A client is experiencing constipation secondary to the use of calcium carbonate. The nurse's most ... (Read 252 times)

fnuegbu · **on:** Jul 24, 2018

A client is experiencing constipation secondary to the use of calcium carbonate. The nurse's most appropriate response to this client is:

a. Alternating the calcium carbonate with magnesium hydroxide will help prevent this.
b. Calcium carbonate is the best antacid on the market, so perhaps if you drank more orange juice, it would help.
c. You need to discuss this with your doctor to see if anything to help you can be determined.
d. If you would stop taking the calcium carbonate and cut down on acidic foods, the constipation would resolve.

Question 2

A client asks the nurse if drinking coffee might make her peptic ulcer disease worse. The nurse's best response is:

a. Both caffeinated and decaffeinated coffees are ulcerogenic and must be avoided.
b. As long as you drink decaffeinated coffee, you can drink as much as you want.
c. Drinking carbonated beverages would be better, although it doesn't matter whether it has caffeine or not.
d. If you could cut out some of your coffee to just drinking it in moderation it would be better.

Andromeda18 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A

Feedback
A Correct: By alternating calcium carbonate with a magnesium-based antacid (adverse side effect is diarrhea) the client should be able to avoid both adverse effects.
B Incorrect: Having the client increase the intact of acidic juices would worsen the gastric pain.
C Incorrect: This does not address the client's question.
D Incorrect: This is not a responsible statement by the nurse.

Answer to Question 2

ANS: A

Feedback
A Correct: This is a factual and appropriate nursing response.
B Incorrect: Both caffeinated and decaffeinated coffees negatively affect PUD.
C Incorrect: Carbonated beverages both caffeinated and caffeine-free make PUD worse.
D Incorrect: Ulcerogenic factors should be avoided.