Your client has been confined to bed for more than a day, which ...

[Pineappleeh]

Your client has been confined to bed for more than a day, which has caused generalized weakness. When your client is ready to get out of bed, what will you have your client do?
 
  1. Use a walker to walk down the hall.
  2. Walk a few steps with your assistance.
  3. Sit on the bed with legs dangling on the side.
  4. Sit in a chair for a few minutes before ambulating.

Question 2

Which of the following risk factors would be of concern to the nurse who is planning care for a group of clients with metabolic acidosis? (Select all that apply.)
 
  1. Chronic obstructive pulmonary disease
   2. Hypovolemic shock
   3. Pneumonia
   4. Abdominal fistulas
   5. Acute renal failure

[jesse.fleming]

Answer to Question 1

ANS: 3

Answer to Question 2

2. Hypovolemic shock
4. Abdominal fistulas
5. Acute renal failure

Rationale:
Metabolic acidosis is rarely a primary disorder. It usually develops during the course of another disease such as shock, presence of abdominal fistulas, which can cause excess bicarbonate loss, and acute renal failure. Chronic obstructive pulmonary disease and pneumonia places the client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.