A client with metabolic acidosis has been admitted to the unit from the emergency room. Which of the following does the nurse implement as a priority of care for this client?
1. Administration of sodium bicarbonate.
2. Protect the client from injury.
3. Give the client skin care.
4. Place the client in a high-Fowler's position
2. Protect the client from injury
Rationale:
The client with metabolic acidosis may have symptoms of drowsiness, lethargy, confusion, and weakness. A priority of care would be preventing injury to the client. Medication administration is a physician order. Skin care would not be a priority on admission. The high-Fowler's position would not be the safest position for the confused client.
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