The nurse would question administering sodium bicarbonate to which client?
1. A client taking methotrexate
2. A client in chronic renal failure
3. A client on continuous nasogastric suctioning
4. A client diagnosed with metabolic acidosis
Correct Answer: 3
Rationale 1: This is an appropriate diagnosis for a client who is prescribed sodium bicarbonate.
Rationale 2: This is an appropriate diagnosis for a client who is prescribed sodium bicarbonate.
Rationale 3: A client on continuous nasogastric suctioning might experience base excess secondary to loss of stomach acid, which predisposes the client to metabolic alkalosis.
Rationale 4: This is an appropriate diagnosis for a client who is prescribed sodium bicarbonate.
Global Rationale: A client on continuous nasogastric suctioning might experience base excess secondary to loss of stomach acid, which predisposes the client to metabolic alkalosis. Sodium bicarbonate can be administered with methotrexate, to a client diagnosed with renal failure, and to a client with metabolic acidosis.
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