Author Question: A client has been admitted with a mild case of alkalosis. What would the nurse expect to be ordered? ... (Read 79 times)

a0266361136 · **on:** Jul 23, 2018

A client has been admitted with a mild case of alkalosis. What would the nurse expect to be ordered?

1. 0.9 NS
2. 0.9 NS with 20 mEq potassium
3. Oral potassium supplements
4. Lactated Ringer's solution

Question 2

The client has a pH of 7.6. Which statements are appropriate based on this pH level?(Select all that apply.)

1. The client should be monitored for nervousness.
2. The client is alkalotic.
3. The client should be monitored for drowsiness.
4. The client is acidotic.
5. The client should be monitored for seizures.

vickybb89 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2

Rationale 1:0.9 NS is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.
Rationale 2: Treatment of alkalosis is directed toward addressing the underlying condition that is causing the excess bases to be retained. In mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride. This combination increases the renal excretion of bicarbonate ion (a base), which indirectly increases the acidity of the blood.
Rationale 3:Oral potassium supplements is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.
Rationale 4: Lactated Ringer's solution is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.

Global Rationale: Treatment of alkalosis is directed toward addressing the underlying condition that is causing the excess bases to be retained. In mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride. This combination increases the renal excretion of bicarbonate ion (a base), which indirectly increases the acidity of the blood. 0.9 NS is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.

Answer to Question 2

1, 2, 5

Rationale 1: At pH values above 7.45, alkalosis develops, and symptoms of CNS stimulation occur that include nervousness and convulsions.
Rationale 2: At pH values above 7.45, alkalosis develops, and symptoms of CNS stimulation occur that include nervousness and convulsions.
Rationale 3: The client should be monitored for symptoms of CNS stimulation, not CNS depression.
Rationale 4: The pH is alkaline.
Rationale 5: The pH is alkaline and symptoms of CNS stimulation can occur, which include seizures.

Global Rationale: At pH values above 7.45, alkalosis develops, and symptoms of CNS stimulation occur that include nervousness and seizures. The client should be monitored for symptoms of CNS stimulation, not CNS depression.