During an assessment, the nurse becomes concerned that a client is at risk for developing metabolic alkalosis. What did the nurse assess that caused this concern?
A) Daily ingestion of a banana with breakfast
B) Daily weight consistent
C) Daily use of sodium bicarbonate for gastric upset
D) Daily use of prescribed NSAIDs for arthritic pain
Answer: C
Excess bicarbonate usually occurs as a result of ingesting antacids that contain bicarbonate, such as soda bicarbonate or Alka-SeltzerTM. Daily ingestion of a banana would prevent the development of hypokalemia from the daily use of sodium bicarbonate. Consistent daily weights would indicate fluid balance. Daily use of NSAIDs would not support the development of metabolic alkalosis.
You might also like to view...
A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents ways that might reduce the incidence of otitis media and will include which strategies? Standard Text: Select all that apply
1. Prohibiting tobacco smoke in the home 2. Avoiding use of a pacifier while the child is sleeping 3. Breastfeeding the infant 4. Cleaning the child's ears nightly with peroxide 5. Avoiding use of wood-burning stoves
Aids to memory and mental function that an older adult might use include
a. List making and environmental cues b. A wide variation of daily experiences to trigger memory c. Attempting to meet new people to keep social skills intact d. Changing routine to avoid getting into repetitive patterns
The nurse is completing discharge teaching to a patient with a new diagnosis of multiple sclerosis (MS). What does the nurse recommend about diet?
1. Focus on maintaining a weight as close as possible to what is recommended for the patient's height and weight. 2. Increase fats and lower carbohydrates. 3. Include foods that are easy to swallow since dysphagia is a problem seen in the early stages of the disease. 4. Basically remain the same, as there are no nutritional changes in the MS patient.
Which of the following patient care units would require the largest number of nurses if the scale used to measure acuity ranged from 1-5, with the highest acuity being 5?
a. A unit with10 patients, all ranked acuity level 5 b. A unit with 15 patients, 5 with acuity level 4 and 10 with acuity level 2 c. A unit with 20 patients , 2 ranked acuity level 5, 2 ranked acuity level 3, and 17 rankedacuity level 1-2 d. A unit with 25 patients, all ranked as acuity level 1-2