Answer to Question 1
Correct Answer: 1
Rationale 1: Ingestion of large amounts of antacid can leave a client with a pH base excess. This contributes to metabolic alkalosis.
Rationale 2: Metabolic acidosis is a syndrome where there is a base deficit or acid excess.
Rationale 3: Respiratory alkalosis is associated with hyperventilation.
Rationale 4: Respiratory acidosis is associated with hypoventilation.
Global Rationale: Being a base, antacids that contain bicarbonate may provoke metabolic alkalosis (e.g., fatigue, mental status changes, muscle twitching, depressed respiratory rate) in patients at risk. The remaining acid-base imbalances are not associated with routine use of antacids.
Answer to Question 2
Correct Answer: 2
Rationale 1: Combination antibiotic therapy for the treatment of H. pylori must be continued, as prescribed, for 714 days. Failure to complete a course of antibiotic therapy can result in resistant strains of H. pylori.
Rationale 2: This statement indicates that effective client teaching has been performed.
Rationale 3: Combination can result in dyspepsia.
Rationale 4: Combination antibiotic therapy for the treatment of H. pylori must be continued, as prescribed, for 714 days. Failure to complete a course of antibiotic therapy can result in resistant strains of H. pylori.
Global Rationale: Combination antibiotic therapy for the treatment of H. pylori must be continued, as prescribed, for 714 days. Failure to complete a course of antibiotic therapy can result in resistant strains of H. pylori.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Adult Respiratory Distress Syndrome
Korsakoff’s Syndrome
Measuring the client’s height with a platform scale
Testing the Achilles tendon reflex with client in a supine position
The client is positioned for the examination