Author Question: A client with metabolic acidosis has a nursing diagnosis of Decreased Cardiac Output. The nurse ... (Read 35 times)

erika · **on:** Jun 25, 2018

A client with metabolic acidosis has a nursing diagnosis of Decreased Cardiac Output. The nurse should monitor the client frequently by checking:

1. sleep patterns.
2. capillary refill.
3. paresthesia.
4. hyperactive reflexes.

Question 2

The nurse is caring for an alcoholic who is being treated for hypomagnesemia. When planning care, what should the nurse identify as a priority intervention for this client?

1. Frequent bathing
2. Oral care three times a day
3. Ambulation four times a day
4. Safety interventions

Anna · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Sleep patterns are not an indication of cardiac output.
2. Capillary refill of the nail beds is monitored as an indicator of cardiac output.
3. Paresthesia is numbness around the mouth and in the toes and fingers, and occurs with metabolic alkalosis.
4. Hyperactive reflexes are seen with metabolic alkalosis.

Answer to Question 2

Answer: 4

1. One bath a day is sufficient for this client.
2. Normal routine oral care is planned.
3. Ambulation might not be possible until the client's magnesium is higher.
4. This client will experience muscle weakness, dysphagia, and possibly seizures. The nurse should plan interventions to prevent injury in this client.