Acid Reducing Meds Pharmacology #1

Question

Which teaching is appropriate for the nurse to teach the client taking aluminum hydroxide?

Answers

  1. Encourage a diet high in fruits and vegetables
    • Rationale:

      This answer is correct because the aluminum type antacids (i.e., aluminum hydroxide) can cause constipation, so the nurse should encourage measures to promote bowel movements and comfort. These measures include encouraging a diet high in fruits and vegetables, increasing fluid intake, moderate exercise, and taking stool softeners, if needed.

  2. Be sure to not drive while taking this medication
    • Rationale:

      This answer is not correct because aluminum hydroxide does not cause drowsiness or decrease the central nervous system response time. Driving will not be affected by taking this medication.

  3. Take loperamide as needed for cramping and diarrhea
    • Rationale:

      This answer is not correct because aluminum-containing antacids such as aluminum hydroxide tend to cause constipation, not diarrhea. Therefore, loperamide would worsen the symptoms of constipation.

  4. Remind this medication takes 2-3 days to work
    • Rationale:

      This answer is not correct because antacids work quickly to temporarily relieve the symptoms of heartburn or acidic stomach. Other medications, such as proton pump inhibitors or H2 receptor antagonists will take more time to produce results. They can work within an hour, but sometimes can take 1-4 days.

Overview

Aluminum hydroxide is an antacid used by many clients to neutralize acid in the stomach. A common side effect is constipation and the client should be taught measure to promote comfort.

Explanation

Learning Outcomes

Aluminum hydroxide is designed to neutralize acid in the stomach. The classification of this medication is antacid and is available over-the-counter for clients to obtain. The aluminum type antacids can cause constipation, so the nurse should encourage measures to promote bowel movements and comfort. These measures include encouraging a diet high in fruits and vegetables, increasing fluid intake, moderate exercise, and taking stool softeners, if needed.

Test Taking Tip

Client education can prevent many complications. Focus your studies on client education because your clients, nursing test scores, and NCLEX success depends on it!

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