A nurse is assisting with the care of a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Place the client on seizure precautions.
Have the client breath into a paper bag.
Encourage the client to breath slowly,
Plan to administer sodium bicarbonate to the client
The Correct Answer is A
A. Placing the client on seizure precautions is important as metabolic alkalosis can cause neurological symptoms, such as confusion and increased risk for seizures due to electrolyte imbalances (e.g., low calcium levels). Therefore, seizure precautions are warranted.
B. Breathing into a paper bag is used in respiratory alkalosis to increase CO2 levels, but it is not appropriate in metabolic alkalosis, where the issue is not primarily related to CO2 imbalance.
C. Encouraging the client to breathe slowly is generally more appropriate for respiratory alkalosis, not metabolic alkalosis. Slow breathing would not directly address the underlying issue of metabolic alkalosis.
D. Administering sodium bicarbonate would worsen metabolic alkalosis, as it would further increase the alkalotic state. Sodium bicarbonate is used in metabolic acidosis, not alkalosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Respiratory acidosis would typically involve an elevated PaCO2, which is not seen in this case.
B. Metabolic alkalosis is characterized by an elevated bicarbonate level, which is not present in this scenario.
C. Respiratory alkalosis would present with a low PaCO2 and an elevated pH, which is not the case here.
D. The low bicarbonate level (HCO3) 18mEq/L (normal range of 22-26 mEq/L), and low pH 7.30 (normal range of 7.35-7.45), indicate metabolic acidosis. suggesting acidemia. The PaCO2 is also low at 28 mm Hg, indicating a respiratory compensation for the metabolic acidosis.
Correct Answer is C
Explanation
A. Almonds are high in oxalates, which can contribute to the formation of calcium oxalate kidney stones. Therefore, almonds should be avoided or consumed in moderation by individuals with this condition.
B. Sweet potatoes contain moderate levels of oxalates, which may increase the risk of calcium oxalate kidney stones if consumed in large amounts. It is advisable for individuals with this condition to limit their intake of sweet potatoes.
C. Bananas are low in oxalates, making them a suitable choice for individuals with calcium oxalate kidney stones. Including bananas in the diet can help reduce the risk of stone formation.
D. Soy milk may contain moderate to high levels of oxalates, depending on processing methods. It is recommended to choose low-oxalate alternatives for individuals prone to calcium oxalate kidney stones.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.