What should a nurse instruct a client with chronic kidney disease about magnesium hydroxide?

Instructing a client with chronic kidney disease about magnesium hydroxide requires careful consideration of the effects of this medication on the body. Magnesium hydroxide is an antacid often used to relieve indigestion; however, it contains magnesium, which can accumulate in clients with compromised kidney function.

In chronic kidney disease, the kidneys may struggle to excrete excess magnesium effectively, leading to hypermagnesemia. This condition can cause serious complications, including cardiovascular issues and neuromuscular effects, such as muscle weakness and respiratory failure. Therefore, it is essential that the nurse advises against the use of magnesium hydroxide for indigestion in clients with chronic kidney disease.

This guidance helps prevent potential harm and promotes safer management of the client's condition while ensuring they understand the importance of monitoring their medication intake and its effects on their health status.