Author Question: Which of the following clients is at risk for fluid, electrolyte, and acid-base imbalances? (Select ... (Read 83 times)

corkyiscool3328 · **on:** Jul 23, 2018

Which of the following clients is at risk for fluid, electrolyte, and acid-base imbalances? (Select all that apply.)

1. 50-year-old with hypertension
2. 36-year-old with schizophrenia
3. 40-year-old with a fractured femur
4. 15-month-old with diarrhea for 2 days
5. 76-year-old with advanced Alzheimer's disease
6. 25-year-old with partial-thickness burns over 40 of the body

Question 2

A client experiencing respiratory acidosis as a result of pneumonitis is likely to present with which of the following clinical signs? (Select all that apply.)

1. Tingling fingers
2. Difficult to arouse
3. Warm, flushed skin
4. Tremors in the hands
5. Reporting a terrible headache
6. Repeatedly asking Where am I?

leahchrapun · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1, 3, 4, 5, 6
When there is a loss of body fluids because of burns, illnesses, or trauma, the client is also at risk for electrolyte imbalance. In addition, electrolyte imbalance may occur from vomiting, diarrhea, or a client's inability to communicate fluid needs, resulting in acid-base disturbances. Trauma, disease, and medications (e.g., diuretics) all contribute to alterations in fluid, electrolyte, and ac-id-base balance. Schizophrenia itself is not a risk for fluid, electrolyte, or acid-base imbalances.

Answer to Question 2

ANS: 2, 3, 4, 5, 6
Physical examination of a client experiencing respiratory acidosis may reveal confusion, dizzi-ness, lethargy, headache, ventricular dysrhythmias, warm and flushed skin, muscular twitching, convulsions, and coma. The remaining option is not reflective of respiratory acidosis.