The nurse is caring for a client who has been admitted to the hospital for congestive heart failure. Which data collected during the nursing assessment indicates that the client is at risk for metabolic alkalosis?
Select all that apply.
A) The client takes furosemide (Lasix) daily.
B) The client takes a baby aspirin once daily.
C) The client takes metformin daily.
D) The client frequently uses calcium carbonate (Tums ®) for acid indigestion.
E) The client takes acetaminophen as needed for pain.
Answer: A, D
Excessive use of calcium carbonate and daily use of furosemide can cause metabolic alkalosis. Use of metformin is not associated with alkalosis. Overuse of aspirin can be associated with metabolic acidosis. Occasional use of acetaminophen is not associated with metabolic alkalosis.
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