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

Hyperventilation.

Diarrhea.

Salicylate intoxication.

Vomiting.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

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Correct Answer is A

Explanation

Choice A rationale:

The prescription should be clear and appropriate. If there is any part of the prescription that is unclear or inappropriate, it should be clarified with the provider. This is to ensure the safety and effectiveness of the medication for the client.

Choice B rationale:

Repeating the prescription back to the provider is a good practice to confirm the accuracy of the prescription. However, it is not the only step in ensuring the appropriateness of the prescription.

Choice C rationale:

Transcribing the prescription into the client’s medical record is important for documentation and continuity of care. However, it does not directly address the appropriateness of the prescription.

Choice D rationale:

Obtaining the provider’s signature within 48 hours is a regulatory requirement in some settings. However, it does not directly address the appropriateness of the prescription.

A. 1 slice of wheat bread. B. 1 slice of cheddar cheese. C. 1 banana. D. 1 wedge of cantaloupe.

Correct Answer is C

Explanation

Choice A rationale:

Wheat bread contains some potassium, but not as much as fruits and vegetables.

Choice B rationale:

Cheddar cheese is not a good source of potassium.

Choice C rationale:

Bananas are known to be a great source of potassium.

Choice D rationale:

Cantaloupes contain potassium, but not as much as bananas.

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

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Naxlex Comprehensive Predictor Exams

Which step ensures the prescription is clear and appropriate?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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