Acid Reducing Meds Pharmacology #5

Question

The nurse instructs a client taking a calcium based antacid about which common side effect?

Answers

  1. Gastric pH of 3
    • Rationale:

      This answer is not correct because a gastric pH of 3 (acidic) is an indication for antacids, not a side effect of the medication. Normally, treatment with an antacid should produce a pH level of at least 5.

  2. Miscarriage
    • Rationale:

      This answer is not correct because miscarriage is not associated with calcium based antacids. It is a serious side effect of misoprostol, an antisecretory drug used for severe gastric ulcers caused by long-term use of steroids or non-steroidal anti-inflammatory medications. Misoprostol is also used in obstetrics for cervical ripening and should never be administered to a pregnant woman except for this purpose, due to the risk of miscarriage.

  3. Peptic ulcer
    • Rationale:

      This answer is not correct because this answer is not correct because peptic ulcer disease is an indication of use for use for a calcium based antacid, not a side effect of the medication. It is also used for treatment of gastroesophageal reflux disease (GERD).

  4. Constipation
    • Rationale:

      This answer is correct because constipation is the most common side effect of calcium based antacids so the client should be educated about this and actions to take to help reduce this side effect. These actions include increasing non-caffeinated fluid intake, fresh fruits and vegetables and activity. Occasional use of stool softener may be necessary to facilitate regular bowel movements.

Overview

Constipation is a common side effect of calcium based antacids. Clients should be taught this common occurrence and instructed about methods to decrease symptoms.

Explanation

Learning Outcomes

Calcium based preparations are commonly used in antacids. As the acids of the stomach are neutralized, acidity of gastric contents are reduced. Constipation is the most common side effect of calcium based antacids so the client should be educated about this and actions to take to help reduce this side effect. These actions include increasing non-caffeinated fluid intake, fresh fruits and vegetables and activity. Occasional use of stool softener may be necessary to facilitate regular bowel movements.

Test Taking Tip

Be very careful to re-read the question before selecting the final answer to make sure you are answering the question it is asking. Sometimes the answers may answer the indications for a medication, rather than the side effect the question is asking for. Be very careful and read.

Video Rationale