The nurse is planning care for the client who has been admitted with metabolic alkalosis. Which of the following is a priority nursing diagnosis for this client?
1. Fluid Volume Excess
2. Risk for Impaired Gas Exchange
3. Risk for Hypothermia
4. Ineffective Health Maintenance
2. Risk for Impaired Gas Exchange
Rationale:
Respiratory compensation for metabolic alkalosis includes depression of the respiratory rate and reduction of the depth of respirations leading to the retention of carbon dioxide. Clients with metabolic alkalosis often have an accompanying fluid volume deficit. With the fluid volume deficit, the client would experience hyperthermia. Ineffective health maintenance would not be a priority during the acute phase of the disease but, rather, a teaching opportunity before discharge depending on the cause of the metabolic alkalosis.
You might also like to view...
The nurse is assessing an older adult admitted with pancreatic insufficiency. While assessing for the presence of malabsorption, the nurse recalls that malabsorption may be extraintestinal in the older adult and may include the symptoms of:
A) Shortness of breath and hypervolemia B) Fatigue and confusion C) Pruritus and muscle rigidity D) Darkening of skin pigmentation and tremors
Treatment for a child with allergic rhinitis includes which of the following? (Select all that apply.)
a. removing drapes and using blinds on windows b. using down bedding c. using dustcovers on beds d. avoiding wool bedding e. using hardwood floors f. keeping pets indoors
An ECG lead that has a positive and negative electrode is called a(n) _____ lead
Fill in the blanks with correct word
A gown is needed for isolation precautions. The gown is removed:
a. Before leaving the room b. After leaving the room c. After care is completed d. In the dirty utility room