What is the priority information for the nurse to provide the patient with a hip fracture and CKD prior to discharge?

The priority information for the nurse to provide the patient with a hip fracture and chronic kidney disease (CKD) prior to discharge is to take aluminum hydroxide (Nephrox) with meals. This medication plays a crucial role in managing hyperphosphatemia, a common concern in patients with CKD due to their reduced ability to excrete phosphorus. When taken with meals, aluminum hydroxide can effectively bind dietary phosphates, helping to maintain the appropriate phosphate levels in the blood. Proper management of phosphorus levels is vital for overall health in CKD patients, as imbalances can lead to serious complications, including bone disease and cardiovascular issues.

This guidance is particularly important for this patient, who is dealing with both a new hip fracture and existing CKD. Effective control of phosphate levels can help reduce the risk of further complications related to both conditions. The timing of medication administration, especially in relation to meals, is a key intervention that promotes optimal absorption and effectiveness.

In contrast, while increased protein intake might seem relevant due to the fracture, it can be counterproductive in CKD patients, where dietary protein restrictions are often advised to reduce the burden on the kidneys. Monitoring daily intake and output is important in managing fluid balance, but it does not directly address