A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid- base imbalances?

Metabolic acidosis

Respiratory alkalosis

Metabolic alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is C

C. Metabolic alkalosis is characterized by an increase in serum bicarbonate levels, resulting in an imbalance in the body's acid-base equilibrium towards alkalinity. Excessive ingestion of antacids, particularly those containing bicarbonate or calcium carbonate, can lead to an excessive accumulation of bicarbonate ions in the body, causing metabolic alkalosis.
A. Excessive ingestion of antacids would not typically cause metabolic acidosis because antacids containing bicarbonate or calcium carbonate actually increase bicarbonate levels, leading to alkalosis rather than acidosis.
B. Respiratory alkalosis occurs due to hyperventilation, leading to a decrease in carbon dioxide levels and subsequent alkalosis. Excessive ingestion of antacids is not typically associated with respiratory alkalosis.

D. Respiratory acidosis occurs due to hypoventilation, leading to an increase in carbon dioxide levels and subsequent acidosis. Excessive ingestion of antacids is not typically associated with respiratory acidosis.

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Correct Answer is ["69"]

Explanation

Convert the weight from pounds to kilograms

190 lb * (1 kg / 2.2046 lb) = 86.183 kg (rounded to three decimal places)

The recommended dietary allowance (RDA) of protein:86.183 kg * 0.8 g/kg = 68.946 g/day

Rounding to the nearest whole number, the client should receive approximately 69 grams of protein daily.

A. Urinary hesitancy B. Painless vaginal bleeding C. Unexplained weight gain D. Frequent diarrhea

Correct Answer is B

Explanation

B. Painless vaginal bleeding, especially after sexual intercourse or between menstrual periods, can be an early sign of cervical cancer. This bleeding may occur due to cervical lesions or abnormalities, such as cervical dysplasia or cervical cancer. It is important for individuals to report any abnormal vaginal bleeding to their healthcare provider for further evaluation.
A. Urinary hesitancy, which is difficulty starting urination or a delay in the initiation of the urinary stream, is not typically associated with cervical cancer.
C. Unexplained weight gain is not typically associated with cervical cancer.
D. Frequent diarrhea is not typically associated with cervical cancer.

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A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid- base imbalances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["69"]

Explanation

A nurse working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?

Correct Answer is B

Explanation

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