The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client for manifestations of which disorder that the client is at risk for?
Respiratory acidosis
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
The Correct Answer is D
A. Respiratory acidosis:
This occurs when there is inadequate ventilation, leading to an accumulation of carbon dioxide (CO2) in the blood. In the context of a nasogastric tube attached to low suction, respiratory acidosis is not the primary concern. It is more associated with conditions like respiratory depression or lung diseases.
B. Metabolic acidosis:
Metabolic acidosis results from an excess of acid or a loss of bicarbonate. It is not the typical outcome of a nasogastric tube attached to low suction. Conditions like diarrhea or renal failure are more commonly associated with metabolic acidosis.
C. Respiratory alkalosis:
Respiratory alkalosis occurs when there is excessive loss of carbon dioxide from the body, often due to hyperventilation. This is not a typical consequence of a nasogastric tube attached to low suction.
D. Metabolic alkalosis:
Metabolic alkalosis is characterized by an excess of bicarbonate or a loss of acid. In the given context, with the nasogastric tube attached to low suction, there is a potential loss of gastric acid, contributing to metabolic alkalosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Nervousness:
Explanation: Correct. Nervousness is a common symptom of hypoglycemia.
B. Tremors:
Explanation: Correct. Tremors or shakiness can occur with hypoglycemia.
C. Irritability:
Explanation: Correct. Irritability is one of the signs of hypoglycemia.
D. Anorexia:
Explanation: Anorexia or loss of appetite is a possible symptom of hypoglycemia but not as commonly observed as other symptoms.
E. Hot, dry skin:
Explanation: Hot, dry skin is not typically associated with hypoglycemia. Diaphoresis or sweating is more common.
F. Muscle cramps:
Explanation: Muscle cramps are not typical symptoms of hypoglycemia.
Correct Answer is B
Explanation
A. "Diet, exercise, and oral medications can be effective. I will ask the physician to prescribe Metformin":
Explanation: This statement is not accurate for type 1 diabetes. Type 1 diabetes results from the inability of the pancreas to produce insulin, so oral medications like Metformin, which work to increase insulin sensitivity or reduce glucose production in the liver, are not effective. Insulin replacement is the mainstay of treatment for type 1 diabetes.
B. "Your body does not produce insulin, and the only treatment is injected insulin":
Explanation: This is the correct statement. In type 1 diabetes, the pancreas does not produce insulin or produces very little, and insulin cannot be taken orally because it would be broken down in the digestive system. Therefore, injections are the primary and necessary mode of insulin delivery.
C. "Glucophage can help your body better utilize the insulin secreted by the pancreas":
Explanation: This statement is more applicable to type 2 diabetes, where the pancreas may still produce insulin, but the body's cells are resistant to its effects. In type 1 diabetes, the issue is a lack of insulin production, so medications to improve insulin utilization are not relevant.
D. "Initially, you will need injections, but after your body adjusts to the insulin, you can switch to Metformin":
Explanation: This is not accurate for type 1 diabetes. The need for insulin in type 1 diabetes is not something the body adjusts to over time. Insulin is a lifelong requirement for individuals with type 1 diabetes, and it cannot be replaced by oral medications like Metformin.
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