While reviewing laboratory results, the nurse notes that a ...

[imanialler]

While reviewing laboratory results, the nurse notes that a client's potassium level is 2.8 mEq/L and chloride level is 100 mEq/L. Based on this data, which intervention does the nurse plan for this client?
 
  A) Preparing to administer 0.9 sodium chloride infusion
  B) Measuring for nasogastric tube insertion
  C) Discussing potassium chloride replace therapy with the healthcare provider
  D) Reviewing implications of transfusing with ammonia chloride

Question 2

A client with severe metabolic alkalosis is admitted to the unit. Which is the priority for the client?
 
  A) Administering medication for metabolic alkalosis
  B) Monitoring oxygen saturation
  C) Teaching the client the risk factors for metabolic alkalosis
  D) Setting goals for the client with metabolic alkalosis

[1_Step_At_ATime]

Answer to Question 1

Answer: C

Treatment of metabolic alkalosis includes restoring normal fluid volume and administering potassium chloride. The potassium restores serum and intracellular potassium levels, allowing the kidneys to conserve hydrogen ions more effectively. Since the chloride level is within normal limits, an infusion of 0.9 sodium chloride is not indicated. Removal of gastric secretions is one reason for the development of metabolic alkalosis. A nasogastric tube is not indicated for this client. There is not enough information to support the use of ammonia chloride for this client, as it is indicated to treat severe metabolic alkalosis.

Answer to Question 2

Answer: B

The priority for this client is monitoring oxygen saturation. The depressed respiratory drive that often accompanies metabolic alkalosis can lead to hypoxemia and impaired oxygenation of the tissues. Administering medications will be needed as a treatment, but the priority is to discover the cause. Teaching the client and setting goals are important aspects of nursing care but are not the priority.

[imanialler]

TYSM

[jackie]

Excellent