Author Question: A client is brought to the emergency department (ED) after passing out in a local department store. ... (Read 78 times)

silviawilliams41 · **on:** Jun 25, 2018

A client is brought to the emergency department (ED) after passing out in a local department store. The client has been fasting and has ketones in the urine. Which acid-base imbalance would the nurse expect to assess in this client?

A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis

Question 2

Immediately after a client dies, who is the nurse responsible for notifying?

1. Family
2. Primary care provider
3. Funeral home
4. Coroner, if indicated

Qarqy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

A client who is fasting is at risk for development of metabolic acidosis. The body recognizes fasting as starvation and begins to metabolize its own proteins into ketones, which are metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic alkalosis.

Answer to Question 2

Correct Answer: 2

The first call made by the nurse should be to the primary care provider, who will decide whether the nurse should notify the family or to personally make the call. After the primary care provider is notified, the family should be called next. They will inform the nurse of what funeral home will be used. The coroner will be notified at a later date, and the nurse will not need to make the call in most instances.