Electrolytes Question #71


The nurse is caring for a client with hyperphosphatemia. Which item should the nurse instruct the client to avoid?


  1. Vitamin D2
    • Rationale:
  2. Amphojel
    • Rationale:
  3. Milk and milk products
    • Rationale:
  4. Red meat
    • Rationale:



The correct answer is B. In hyperphosphatemia there is an abnormally high serum phosphate level. Amphojel interferes with medications used to reduce the serum phosphate level. There is no reason for the client to avoid vitamin D2, milk and milk products, or red meat.

NCLEX TIP: Using critical thinking is recommended when reading priority questions. Recognizing key words in the answer choices will allow you to know how to choose the correct answer for the question. Go through each answer choice and decide is it: Maslow’s hierarchy, safety-related, or following the nursing process (ADPIE). Never complete a nursing action that is outside the scope of practice.

Learning Outcomes

Test Taking Tip

Video Rationale