A client being treated long-term with oral sodium bicarbonate should be monitored for which acid–base imbalance?
1. Metabolic acidosis
2. Respiratory acidosis
3. Respiratory alkalosis
4. Metabolic alkalosis
Correct Answer: 4
Rationale 1: This acid–base imbalance is not associated with prolonged use of sodium bicarbonate.
Rationale 2: This acid–base imbalance is not associated with prolonged use of sodium bicarbonate.
Rationale 3: This acid–base imbalance is not associated with prolonged use of sodium bicarbonate.
Rationale 4: Overdose or long-term use of sodium bicarbonate results in metabolic alkalosis.
Global Rationale: Overdose or long-term use of sodium bicarbonate results in metabolic alkalosis. The other acid-base imbalances are not associated with prolonged use of sodium bicarbonate.
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