Nurses must administer sodium bicarbonate with caution to clients with hypertension to avoid which adverse effect?
1. Respiratory acidosis
2. Metabolic acidosis
3. Retention of fluid
4. Unexpected diuresis
Correct Answer: 3
Rationale 1: Respiratory acidosis is not an adverse effect of sodium bicarbonate.
Rationale 2: Metabolic acidosis is not an adverse effect of sodium bicarbonate.
Rationale 3: Administer sodium bicarbonate with caution to clients with hypertension, because this drug will promote retention of fluids.
Rationale 4: Unexpected diuresis is not associated with the use of sodium bicarbonate.
Global Rationale: Administer sodium bicarbonate with caution to clients with hypertension, because this drug will promote retention of fluids. Respiratory acidosis, metabolic acidosis, and unexpected diuresis are not adverse effects of sodium bicarbonate.
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