The nurse is caring for a client experiencing metabolic alkalosis. Which of these conditions may cause this?
a. overly vigorous mechanical ventilation
b. hyperkalemia
c. prolonged nasogastric suctioning
d. pain
C
Metabolic alkalosis is caused by excessive ingestion of antacids or milk, or by excessive oral or parenteral administration of sodium bicarbonate or other alkaline salts and prolonged nasogastric suctioning. Overly vigorous mechanical ventilation and pain result in respiratory alkalosis. Hyperkalemia results in metabolic acidosis.
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