An older client is admitted to the hospital with acute gastritis. The health care provider orders magnesium hydroxide (Mylanta) 1 hour and 3 hours after meals and at bedtime. Which action by the nurse is most appropriate?
a. Check the client's renal function studies before giving the drug.
b. Call the health care provider and ask for a different antacid for the client.
c. Assess the client's pain and treat pain if present.
d. Assist the client in ordering bland food from the menu.
A
Hypermagnesemia can develop if the client's kidneys are not functioning well because Mylanta contains magnesium, which is excreted via the kidneys. Kidney function declines as a normal age-related change, so the nurse should be cautious to check kidney function before administering this medication. The client may be able to take the medication; without further information, the nurse should not yet call the provider. Assessing and treating pain and helping the client choose appropriate foods are good interventions, but they are not specific to ensuring safety regarding the medication ordered.
You might also like to view...
The nurse is preparing to admit a patient from the emergency department. The transferring nurse reports that the patient is obese
The nurse has been overweight at one time and works very hard now to maintain a healthy weight. She immediately thinks to herself, "I know I tend to feel negatively about obese people; I figure if I can stop eating, they should be able to. I must remember how very difficult that is, and be very careful not to be judgmental of this patient." This best illustrates: 1) Theoretical knowledge. 2) Self-knowledge. 3) Using reliable resources. 4) Use of the nursing process.
While teaching parents of a newborn about normal growth and development, which statement is most appropriate for the nurse to include in the session?
1. Weight should triple by 6 months of age. 2. Weight should double by 1 year of age. 3. Weight should double by 4 months of age. 4. Weight should triple by 1 year of age.
A child has presented to the clinic with diarrhea. The nurse should teach the mother to give which of the following to properly care for her child?
What will be an ideal response?
Describe common psychological responses to a diagnosis of a brain tumor
What will be an ideal response?