A client with CKD stage 5 takes sevelamer for hyperphosphatemia. Which administration instruction is most impo…

Question

A client with CKD stage 5 takes sevelamer for hyperphosphatemia. Which administration instruction is most important?

Accepted Answer

Option 1: Take with each meal to bind dietary phosphate; separate other medications by at least 1 hour before or 3 hours after sevelamer

Correct (2): Sevelamer binds dietary phosphate — must take WITH meals to be effective. Separate other medications (especially ciprofloxacin, levothyroxine, mycophenolate, tacrolimus) by ≥1h before or ≥3h after. Common: constipation, dyspepsia. (1,3) Reduces effectiveness. (4) Scheduled.

Answer

Option 2: Take only when symptoms occur

Answer

Option 3: Take 2 hours after meals

Answer

Option 4: Take on an empty stomach

A client with CKD stage 5 takes sevelamer for hyperphosphatemia. Which administration instruction is most important?

In-depth explanation

Clinical scenario

Key concepts

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A client with CKD stage 5 takes sevelamer for hyperphosphatemia. Which administration instruction is most important?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci