A client with metabolic acidosis has a nursing diagnosis of Decreased Cardiac Output. The nurse should monitor the client frequently by checking:

1. sleep patterns.
2. capillary refill.
3. paresthesia.
4. hyperactive reflexes.


Answer: 2

1. Sleep patterns are not an indication of cardiac output.
2. Capillary refill of the nail beds is monitored as an indicator of cardiac output.
3. Paresthesia is numbness around the mouth and in the toes and fingers, and occurs with metabolic alkalosis.
4. Hyperactive reflexes are seen with metabolic alkalosis.

Nursing

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