The nurse monitors the client with which condition most carefully for metabolic alkalosis?
a. A critical illness receiving total parenteral nutrition
b. Type 1 diabetes on once-daily insulin therapy
c. Metastatic breast cancer on continuous IV morphine
d. Asthma using an adrenergic agonist inhaler
A
The IV fluid mixture for total parenteral nutrition (TPN) has an overall basic pH. One common substance in TPN is lactate, which is rapidly converted in the body to bicarbonate. In addition, the TPN mixture is often administered as a continuous slow infusion. A client with diabetes would be at higher risk of metabolic acidosis. The client on IV morphine is more at risk for respiratory acidosis, as is the client with asthma.
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Fill in the blank(s) with correct word
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