The client has been vomiting for several days. The nurse would assess the client for which acid–base disturbance?

1. Metabolic acidosis
2. Respiratory alkalosis
3. Metabolic alkalosis
4. Respiratory acidosis


3
Rationale 1: Metabolic acidosis will not occur as a result of vomiting.
Rationale 2: Respiratory alkalosis will not occur as a result of vomiting.
Rationale 3: Metabolic alkalosis will result from excessive loss of hydrochloric acid from the stomach brought on by prolonged vomiting.
Rationale 4: Respiratory acidosis will not occur as a result of vomiting.
Global Rationale: Metabolic alkalosis will result from excessive loss of hydrochloric acid from the stomach brought on by prolonged vomiting. Respiratory alkalosis will not occur as a result of vomiting. Metabolic and respiratory acidosis will not occur as a result of vomiting.

Nursing

You might also like to view...

The mother of a six-week-old infant tells the nurse that her baby has had colic for several days, crying for up to three hours and drawing his legs up on his abdomen. The mother says she is at "wits end" and wonders what she can do

The nurse learns that the infant is formula fed and gaining weight satisfactorily. The nurse would recommend: Standard Text: Select all that apply. 1. Breastfeeding the infant. 2. Switching to a bottle that has a collapsible bag inside. 3. Putting the infant in a baby swing after feeding. 4. Burping the baby more frequently. 5. Giving the baby a suppository once each morning.

Nursing

When describing the structures involved in fetal circulation, the nursing instructor describes which structure as the opening between the right and left atrium?

A) Ductus venosus B) Foramen ovale C) Ductus arteriosus D) Umbilical artery

Nursing

During a period of time when the computerized

medication order system was down, the prescriber wrote admission orders, and the nurse is transcribing them. The nurse is having diffi-culty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time? a. Ask a colleague what the order says. b. Contact the prescriber to clarify the order. c. Wait until the prescriber makes rounds again to clarify the order. d. Ask the patient what medications he takes at home.

Nursing

Which of the following would the nurse expect as a normal change in the bowel elimination as a person ages?

1. Absorptive processes are increased in the intestinal mucosa. 2. Esophageal emptying time is increased. 3. Changes in nerve innervation and sensation cause diarrhea. 4. Mastication processes are less efficient.

Nursing