A client is being treated for metabolic acidosis with medication therapy and other measures

Question

The nurse would plan to most carefully note the results of which of the following electrolytes, which could dramatically decline with effective treatment of the acidosis? 1. Sodium
2. Potassium
3. Magnesium
4. Phosphorus

Answer 1

2

Rationale: The serum potassium level tends to rise with metabolic acidosis. This is because
potassium moves out of the cells and into the bloodstream. When acidosis is corrected with treatment, the potassium will shift back into the cellular compartment. This can cause a rapid drop in the serum potassium level. Because of the effects of potassium on the heart, this electro-lyte should be monitored closely while the client is treated.