After providing discharge teaching, a nurse assesses the client's understanding regarding increased risk for metabolic alkalosis. Which statement indicates that the client needs additional teaching?

"In hot weather, I sweat so much that I drink six glasses of water each day."

"I take sodium bicarbonate after every meal to prevent heartburn."

"I don't drink milk because it gives me gas and diarrhea."

"I have been taking digoxin every day for the last 15 years."

Answer and Explanation

The Correct Answer is B

A. Drinking water in hot weather is important to prevent dehydration. This is not a risk factor for metabolic alkalosis unless the client is excessively losing electrolytes through sweating and not replacing them.

B. Sodium bicarbonate is an alkaline substance, and regular use, especially after meals, can contribute to metabolic alkalosis. The client should be instructed on the potential risks of using sodium bicarbonate too frequently.

C. Avoiding milk due to gastrointestinal symptoms does not directly contribute to metabolic alkalosis.

D. Digoxin does not directly affect acid-base balance, but it requires monitoring due to potential interactions with other medications or electrolyte imbalances.

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Correct Answer is C

Explanation

A. Nuclear medicine scan is less commonly used for diagnosing gastric pain and dyspepsia.

B. Magnetic resonance imaging (MRI) is not the first choice for gastrointestinal issues.

C. Esophagogastroduodenoscopy (EGD) allows direct visualization of the upper GI tract, making it the most accurate diagnostic tool.

D. Abdominal arteriogram is typically used for vascular issues, not for diagnosing dyspepsia or gastric pain.

A. "My grandkids are so excited to have me coming home!" B. "I am going to have my daughter scoop the cat litter box." C. "All my friends and neighbors are planning a party for me." D. "I hope I can get my water turned back on when I get home."

Correct Answer is B

Explanation

A. The excitement of family does not indicate an infection risk. Emotional support can aid recovery.

B. Handling cat litter, which can contain bacteria, is a potential source of infection. Given the client's sternal wound, exposure to such bacteria increases the risk of infection, including sepsis.

C. Attending a party may present social interaction risks, but it is not as directly related to infection risk as handling cat litter.

D. Having the water turned on does not pose a significant risk for infection or sepsis.

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Test Name	Results	Reference Range
WBC	12, 000	4, 000- 11, 000
Na+	149 mEq/L	135-145 mEq/L
K+	5.0 mEq/L	3.5- 5.0 mEq/L
Cl-	110 mEq/L	96-106 mEq/L
pH	7.34	7.35-7.45
PaCO2	34 mmHg	35- 45 mmHg
PaO2	78 mm Hg	80-100 mmHg
HCO3	21 mEq/L	22- 26 mEq/L

After providing discharge teaching, a nurse assesses the client's understanding regarding increased risk for metabolic alkalosis. Which statement indicates that the client needs additional teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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