Adverse Effects of Magnesium Hydroxide in Renal Failure

A nurse is caring for a patient diagnosed with chronic renal failure who is prescribed magnesium hydroxide (milk of magnesia) for constipation. Before administering this medication, the nurse must consider the contraindications and potential adverse effects of magnesium hydroxide in patients with renal impairment.

Which of the following adverse effects should the nurse be particularly vigilant about due to the patient's renal status?