The nurse assumes care for a client who was brought to the ...

[sammy]

The nurse assumes care for a client who was brought to the hospital after a morphine overdose. What acid-base imbalance does the nurse expect to observe in this client?
 
  A) Respiratory alkalosis
  B) Respiratory acidosis
  C) Metabolic alkalosis
  D) Metabolic acidosis

Question 2

During a home visit, the nurse evaluates teaching provided to a client recently hospitalized for metabolic alkalosis. Which observation indicates that additional teaching is required?
 
  A) Drinks 2 cups of black coffee each day.
  B) Consumes one orange each day with breakfast.
  C) Ingests bicarbonate of soda after each meal.
  D) Monitors and tracks daily weights.

[nguyenhoanhat]

Answer to Question 1

Answer: B
Morphine is a narcotic and generally acts to decrease or suppress respirations; therefore, this client is probably hypoventilating. The expected acid-base imbalance would be respiratory acidosis. Respiratory alkalosis, metabolic acidosis, and metabolic alkalosis are caused by many conditions, none of which are related to this client's morphine overdose.

Answer to Question 2

Answer: C

The indiscriminate ingestion of sodium bicarbonate is a risk factor for the development of metabolic alkalosis. Black coffee is not associated with the development of metabolic alkalosis. Oranges contain potassium, which is beneficial to prevent the development of metabolic alkalosis. Tracking of daily weights would help detect a fluid imbalance, which is associated with metabolic alkalosis.

[sammy]

Correct answers!

[nguyenhoanhat]

Great! Please up vote