Author Question: The nurse is reviewing the health problems for a group of assigned patients. Which patient does the ... (Read 69 times)

dalyningkenk · **on:** Jun 25, 2018

The nurse is reviewing the health problems for a group of assigned patients. Which patient does the nurse recognize as being at increased risk for developing metabolic alkalosis?

1. patient with bulimia
2. patient on dialysis
3. patient with venous stasis ulcer
4. patient with COPD

Question 2

A patient with a history of stomach ulcers is diagnosed with hypophosphatemia. What intervention should the nurse include in this patient's plan of care?

1. Request a dietitian consult for selecting foods high in phosphorous.
2. Provide aluminum hydroxide antacids as prescribed.
3. Instruct patient to avoid poultry, peanuts, and seeds.
4. Instruct to avoid the intake of sodium phosphate.

babybsemail · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Metabolic alkalosis may be caused by loss of acid or excess bicarbonate in the body. Vomiting is one way for the body to lose acid. A patient receiving dialysis has kidney failure, which causes metabolic acidosis. A venous stasis ulcer does not result in an acidbase disorder. The patient diagnosed with COPD typically has hypercapnea and respiratory acidosis.

Answer to Question 2

Correct Answer: 1

Treatment of hypophosphatemia includes treating the underlying cause and promoting a high phosphate diet. Phosphate-binding antacids, such as aluminum hydroxide, should be avoided. Mild hypophosphatemia may be corrected by oral supplements, such as sodium phosphate.