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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3. This client’s pH is low, indicating acidosis, not alkalosis.
Choice B rationale:
Respiratory acidosis is correct. It is characterized by a low pH and high PaCO2, as seen in this client’s results. This condition occurs when the lungs can’t remove enough CO2, causing it to build up in the blood and lower the pH.
Choice C rationale:
Metabolic acidosis is incorrect because it would present with a low pH and low HCO3. This client’s HCO3 is normal.
Choice D rationale:
Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2. This client’s pH is low and PaCO2 is high.
Correct Answer is B
Explanation
Choice A rationale:
Scrambled eggs are soft and easy to chew and swallow, making them appropriate for a mechanically altered diet.
Choice B rationale:
Wheat toast is hard and requires more chewing, which may be difficult for a client on a mechanically altered diet.
Choice C rationale:
Cottage cheese is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.
Choice D rationale:
A sliced banana is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.
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