The nurse admits an infant with vomiting and the diagnosis of hypertrophic pyloric stenosis. Which metabolic alteration should the nurse plan to assess for with this infant?

a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory acidosis
d. Respiratory alkalosis


A
Frequent projectile vomiting, characteristic of pyloric stenosis, results in a loss of nonvolatile acids that decreases hydrogen ion concentration. This results in an excess of bicarbonate that increases arterial pH above 7.45 (metabolic alkalosis). Metabolic acidosis, respiratory acidosis, and respiratory alkalosis do not result from vomiting.

Nursing

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One way that nurses can meet the social justice responsibility set out by the Code of Ethics for Nurses is to

A) volunteer to provide care for the indigent. B) promote care through acute care agencies. C) develop home care programs consistent with Medicare regulation. D) work within the state practice act.

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Use of a doppler ultrasonic flow meter

What will be an ideal response?

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While performing Leopold's maneuvers on a woman in early labor, the nurse palpates a flat area in the fundal region, a hard round mass on the left side, a soft round mass on the right side, and small parts just above the symphysis

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