A client is brought to the emergency department after passing out in a local department store. The client reports having dieted by fasting for the last 5 days. Which acid–base imbalance would the nurse expect to assess in this client?
1. Respiratory acidosis
2. Respiratory alkalosis
3. Metabolic acidosis
4. Metabolic alkalosis
3. Metabolic acidosis
Rationale:
A client who is fasting is at risk for development of metabolic acidosis. The body recognizes fasting as starvation and begins to metabolize its own proteins into ketones, which are metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic alkalosis.
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When the nurse is caring for a client with progressive systemic sclerosis (PSS), the high-est-priority nursing diagnosis would be
a. Constipation. b. Disturbed Thought Processes. c. Risk for Imbalanced Body Temperature. d. Risk for Impaired Skin Integrity.
The nurse should consider all of the following in selecting an antiseptic or disinfectant for use, except:
a. client history of sensitivity to a particular product. b. nature of the organism to be destroyed. c. storage requirements of the agent. d. health care provider's previous experience with the product.