Which client does the nurse assess for potential metabolic acidosis?
a. Client admitted after collapsing during a marathon run
b. Young adult following a carbohydrate-free diet
c. Older adult with asthma who is on long-term steroid therapy
d. Older client on antacids for gastroesophageal reflux disease
B
One cause of acidosis is a strict low-calorie diet or one that is low in carbohydrate content. Such a diet increases the rate of fat catabolism and results in the formation of excessive ketoacids. Dehydration is not directly associated with acid-base disorders. In the client with asthma, acid-base status will be determined by a combination of depth of respirations and oxygen saturation. Excessive intake of sodium bicarbonate may increase the risk of metabolic alkalosis.
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