A client who has chronic kidney disease is being discharged from the hospital after receiving treatment for a hip fracture. Which information is most important for the nurse to provide to the client before discharge?
a. "Increase your intake of foods with pro-tein."
b. "Monitor your daily intake and output."
c. "Maintain bedrest until the fracture is healed."
d. "Take your aluminum hydroxide (Neph-rox) with meals."
D
Aluminum hydroxide lowers serum phosphate levels by binding phosphorus present in food. High blood phosphate levels cause hypocalcemia and osteodystrophy; this makes a client prone to fracture. Increasing protein may not be feasible for a client with chronic kidney disease and would not help prevent fracture. Intake and output will not be helpful for orthopedic problems. Bedrest will promote complications.
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