The nurse is caring for a client with a history of heart failure and chronic gastritis. The client tells the nurse about taking 2 teaspoons of sodium bicarbonate every night before going to bed to prevent heartburn
Which is the nurse's best response? a. "You should let the doctor know right away if you develop diarrhea."
b. "I will let your doctor know so a safer antacid can be prescribed for you."
c. "Do not take that with milk, because the combination can cause kidney stones."
d. "Make sure that you mix the sodium bicarbonate with at least 8 ounces of water."
B
Sodium bicarbonate can cause fluid retention and edema, which can be dangerous for clients with heart failure. The provider should be notified so that an alternative antacid can be prescribed. The other statements do not reflect an accurate concern with sodium bicarbonate.
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