Answer to Question 1
Answer: C, D, E
Respiratory compensation for metabolic alkalosis includes depression of the respiratory rate and reduction of the depth of respirations, leading to the retention of carbon dioxide. Patients with metabolic alkalosis often have an accompanying fluid volume deficit. With the fluid volume deficit, the client would experience hyperthermia. Ineffective health maintenance would not be a priority during the acute phase of the disease but, rather, a teaching opportunity before discharge depending on the cause of the metabolic alkalosis. The client is at risk for injury because of the associated muscle spasms and dizziness.
Answer to Question 2
Answer: B, D, E
Ferrous sulfate can cause gastric irritation and constipation. Taking it with a meal can help minimize gastrointestinal distress. The client should not decrease milk or green leafy vegetables from the diet as these are natural sources of iron and should be encouraged. Increasing fiber (oatmeal) and fluid intake can also help prevent constipation.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Nursing care plan - risk for infection
Metabolic consequences of adenosine deaminase (ADA) deficiency
Day Care and Attachment
Normal and elevated anion gap metabolic acidosis