A nurse assesses a client who is prescribed furosemide (Lasix) ...

[chads108]

A nurse assesses a client who is prescribed furosemide (Lasix) for hypertension. For which acid-base imbalance should the nurse assess to prevent complications of this therapy?
 
  a. Respiratory acidosis
  b. Respiratory alkalosis
  c. Metabolic acidosis
  d. Metabolic alkalosis

Question 2

A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3- 18 mEq/L. Which manifestation should the nurse identify as an exampl
 
  a. Increased rate and depth of respirations
  b. Increased urinary output
  c. Increased thirst and hunger
  d. Increased release of acids from the kidneys

[raenoj]

Answer to Question 1

ANS: D
Many diuretics, especially loop diuretics, increase the excretion of hydrogen ions, leading to excess acid loss through the renal system. This situation is an acid deficit of metabolic origin.

Answer to Question 2

ANS: A
This client has metabolic acidosis. The respiratory system compensates by increasing its activity and blowing off excess carbon dioxide. Increased urinary output, thirst, and hunger are manifestations of hyperglycemia but are not compensatory mechanisms for acid-base imbalances. The kidneys do not release acids.