A client being treated long-term with oral sodium bicarbonate ...

[Kthamas]

A client being treated long-term with oral sodium bicarbonate should be monitored for which acidbase imbalance?
 
  1. Metabolic acidosis
  2. Respiratory acidosis
  3. Respiratory alkalosis
  4. Metabolic alkalosis

Question 2

Nurses must administer sodium bicarbonate with caution to clients with hypertension to avoid which adverse effect?
 
  1. Respiratory acidosis
  2. Metabolic acidosis
  3. Retention of fluid
  4. Unexpected diuresis

[soda0602]

Answer to Question 1

Correct Answer: 4
Rationale 1: This acidbase imbalance is not associated with prolonged use of sodium bicarbonate.
Rationale 2: This acidbase imbalance is not associated with prolonged use of sodium bicarbonate.
Rationale 3: This acidbase imbalance is not associated with prolonged use of sodium bicarbonate.
Rationale 4: Overdose or long-term use of sodium bicarbonate results in metabolic alkalosis.
Global Rationale: Overdose or long-term use of sodium bicarbonate results in metabolic alkalosis. The other acid-base imbalances are not associated with prolonged use of sodium bicarbonate.

Answer to Question 2

Correct Answer: 3
Rationale 1: Respiratory acidosis is not an adverse effect of sodium bicarbonate.
Rationale 2: Metabolic acidosis is not an adverse effect of sodium bicarbonate.
Rationale 3: Administer sodium bicarbonate with caution to clients with hypertension, because this drug will promote retention of fluids.
Rationale 4: Unexpected diuresis is not associated with the use of sodium bicarbonate.
Global Rationale: Administer sodium bicarbonate with caution to clients with hypertension, because this drug will promote retention of fluids. Respiratory acidosis, metabolic acidosis, and unexpected diuresis are not adverse effects of sodium bicarbonate.

[Kthamas]

Excellent

[peter]

Thanks for the timely response, appreciate it