A nurse is collecting data from a patient who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?

Hyperventilation

Cold, clammy skin

Increased blood pressure

Bradycardia

Answer and Explanation

The Correct Answer is A

Choice A reason: Hyperventilation is a compensatory mechanism in metabolic acidosis where the body tries to decrease carbon dioxide levels to balance the acidity.

Choice B reason: Cold, clammy skin is not a typical manifestation of metabolic acidosis; it may be associated with shock or hypoglycemia.

Choice C reason: Increased blood pressure is not directly related to metabolic acidosis. It can be inﬂuenced by various factors, including stress or other underlying conditions.

Choice D reason: Bradycardia, or a slow heart rate, is not a common manifestation of metabolic acidosis. Tachycardia, or a fast heart rate, might be observed instead.

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Correct Answer is A

Explanation

Choice A reason: Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate, which is a base, leading to a relative increase in acidity.

Choice B reason: Salicylate intoxication can initially cause respiratory alkalosis due to hyperventilation, but may later lead to metabolic acidosis as the body compensates.

Choice C reason: Vomiting typically leads to a loss of gastric acid, which would cause metabolic alkalosis, not acidosis.

Choice D reason: Hyperventilation is more commonly associated with respiratory alkalosis due to the excessive loss of CO2, which is an acid, not metabolic acidosis.

A. Keep the bathroom door open to ensure the patient is okay. B. Walk the patient back to bed immediately and get the patient a bedpan. C. Warn the patient they might have to be restrained if they get up without assistance. D. Tell the patient to remain in the bathroom after toileting and obtain a wheelchair.

Correct Answer is D

Explanation

Choice A reason: Keeping the bathroom door open does not address the safety risk of the patient bearing weight on the operative foot.

Choice B reason: While it is important to assist the patient back to bed, providing a bedpan does not address the immediate safety concern.

Choice C reason: Warning the patient about restraints is not appropriate without first educating the patient about the importance of not bearing weight and the potential risks.

Choice D reason: Telling the patient to remain in the bathroom until a wheelchair can be obtained ensures the patient's safety and prevents further weight-bearing on the operative foot.

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A nurse is collecting data from a patient who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reviewing the medical record of a patient who has metabolic acidosis should realize that which of the following findings contributes to the development of metabolic acidosis?

Correct Answer is A

Explanation

A nurse is caring for a patient who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the patient hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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