The nurse is planning care for the client who has been admitted ...

[ereecah]

The nurse is planning care for the client who has been admitted with metabolic alkalosis. Which are appropriate nursing diagnoses for this client during the acute phase of the illness?
 
  Select all that apply.
  A) Ineffective Health Maintenance
  B) Risk for Hypothermia
  C) Deficient Fluid Volume
  D) Risk for Impaired Gas Exchange
  E) Risk for Injury

Question 2

A nurse is providing discharge teaching for a client with iron deficiency anemia. The client has been prescribed ferrous sulfate and has been told to increase the intake of foods that are naturally high in iron.
 
  Which client statements indicate a need for further education?
  Select all that apply.
  A) I will take my ferrous sulfate tablet with my morning oatmeal.
  B) I will decrease my intake of green leafy vegetables while taking my ferrous sulfate tablet.
  C) I will increase my fluid intake while I am taking my ferrous sulfate.
  D) I will take my ferrous sulfate tablet on an empty stomach.
  E) I will decrease milk intake while taking my ferrous sulfate tablet.

[mochi09]

Answer to Question 1

Answer: C, D, E
Respiratory compensation for metabolic alkalosis includes depression of the respiratory rate and reduction of the depth of respirations, leading to the retention of carbon dioxide. Patients with metabolic alkalosis often have an accompanying fluid volume deficit. With the fluid volume deficit, the client would experience hyperthermia. Ineffective health maintenance would not be a priority during the acute phase of the disease but, rather, a teaching opportunity before discharge depending on the cause of the metabolic alkalosis. The client is at risk for injury because of the associated muscle spasms and dizziness.

Answer to Question 2

Answer: B, D, E

Ferrous sulfate can cause gastric irritation and constipation. Taking it with a meal can help minimize gastrointestinal distress. The client should not decrease milk or green leafy vegetables from the diet as these are natural sources of iron and should be encouraged. Increasing fiber (oatmeal) and fluid intake can also help prevent constipation.

[ereecah]

Thank you

[mochi09]

Happy to help you