A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

Metabolic acidosis

Metabolic alkalosis

Respiratory alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is B

A.   Severe vomiting can lead to a loss of gastric acid, resulting in metabolic alkalosis and not acidosis.
B.   A client who is experiencing severe nausea and vomiting may lose gastric acid through vomitus and develop metabolic alkalosis, which is a condition characterized by a high pH (greater than 7.45) and a high bicarbonate (greater than 26 mEq/L). Metabolic alkalosis can cause confusion, tremors, tetany, and hypokalemia.
C. Respiratory alkalosis is not typically associated with vomiting; it is more often seen in conditions with hyperventilation.
D.   Respiratory acidosis is not the primary acid-base imbalance associated with vomiting; it is more commonly associated with conditions affecting lung function.

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Correct Answer is C

Explanation

A. Hypokalemia causes constipation and not diarrhea.
B. Hypertensive crisis is not typically associated with hypokalemia but may be a side effect of certain antihypertensive medications.
C. Hypokalemia can affect the function of the muscles, including the respiratory muscles, leading to shallow respirations, weakness, and paralysis.
D. Hyperreflexia is not a typical manifestation of hypokalemia; it is more associated with hyperkalemia.

A. Increased calcification of bones B. Increased muscle mass C. increased joint stiffness D. increased balance

Correct Answer is C

Explanation

A. In older adults, bones tend to lose calcium, becoming less dense, and more prone to fractures.
B. Generally, older adults may experience a decrease in muscle mass due to factors such as decreased physical activity and hormonal changes.
C. This is the correct answer. Joint stiffness is a common age-related change due to wear and tear on the cartilage.
D. Balance tends to decline with age due to factors such as changes in vision, muscle strength, and joint flexibility.

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A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia?

Correct Answer is C

Explanation

A nurse is assessing an older adult client who is experiencing age-related changes. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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