The nurse is caring for a client with metabolic acidosis. Which goals are appropriate for this client?
Select all that apply.
A) The client will maintain a respiratory rate of 30 or more.
B) The client will describe preventative measure for the underlying chronic illness.
C) The client will maintain baseline cardiac rhythm.
D) pH will range from 7.25 to 7.35.
E) The client will take potassium supplements to increase potassium levels.
Answer: B, C
Planning for the client with metabolic acidosis involves identification and treatment of the underlying cause and restoration and maintenance of acid-base balance. The client should be able to describe preventative measures for the underlying chronic illness that caused the metabolic acidosis to occur and maintain the baseline cardiac rhythm. The pH should be maintained between 7.35 and 7.45. The client's respiratory rate should be within normal range for age and condition. Taking a potassium supplement may cause hyperkalemia, which decreases cardiac output and worsens metabolic acidosis.
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