A nurse is caring for a client who is experiencing moderate ...

[renzo156]

A nurse is caring for a client who is experiencing moderate metabolic alkalosis. Which action should the nurse take?
 
  a. Monitor daily hemoglobin and hematocrit values.
  b. Administer furosemide (Lasix) intravenously.
  c. Encourage the client to take deep breaths.
  d. Teach the client fall prevention measures.

Question 2

A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base imbalance. For which manifestation of this acid-base imbalance should the nurse assess?
 
  a. Agitation
  b. Kussmaul respirations
  c. Seizures
  d. Positive Chvostek's sign

[lgoldst9]

Answer to Question 1

ANS: D
The priority nursing care for a client who is experiencing moderate metabolic alkalosis is providing client safety. Clients with metabolic alkalosis have muscle weakness and are at risk for falling. The other nursing interventions are not appropriate for metabolic alkalosis.

Answer to Question 2

ANS: B
The pancreas is a major site of bicarbonate production. Pancreatitis can cause a relative metabolic acidosis through underproduction of bicarbonate ions. Manifestations of acidosis include lethargy and Kussmaul respirations. Agitation, seizures, and a positive Chvostek's sign are manifestations of the electrolyte imbalances that accompany alkalosis.

[renzo156]

TYSM

[cdmart10]

Excellent