Which client is at continuing risk for alkalosis?
A. 35-year-old critically ill client receiving total parenteral nutrition
B. 45-year-old client with type 1 diabetes, once-daily insulin therapy
C. 55-year-old client with metastatic breast cancer on continuous IV morphine
D. 65-year-old client with occupation-induced asthma using an adrenergic agonist inhaler
A
The intravenous fluid mixture for total parenteral nutrition (TPN) has an overall basic pH. One common substance in TPN is lactate, which is rapidly converted in the body to bicarbonate. In addition, the TPN mixture is often administered as a continuous slow infusion. The age of the client is not significant in this question.
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