A client with a history of takes about 15 antacid tablets per day. The nurse understands that this client is at risk for:
metabolic alkalosis.
respiratory alkalosis.
metabolic acidosis.
respiratory acidosis.
The Correct Answer is A
A. Metabolic alkalosis is characterized by an elevation of the bicarbonate (HCO3) levels in the blood, leading to an increase in pH above the normal range (7.35-7.45). Antacid tablets typically contain compounds such as calcium carbonate, magnesium hydroxide, or aluminum hydroxide, which can neutralize stomach acid (hydrochloric acid). Chronic ingestion of large amounts of antacids, as in the case of this client taking approximately 15 tablets per day, can result in excessive bicarbonate intake, leading to metabolic alkalosis.
B. Respiratory alkalosis occurs when there is a decrease in carbon dioxide (CO2) levels in the blood, leading to an increase in pH above the normal range. Antacid tablets do not directly affect respiratory function or CO2 levels, so respiratory alkalosis is unlikely to occur as a result of antacid ingestion.
C. Metabolic acidosis is characterized by a decrease in bicarbonate (HCO3) levels in the blood, leading to a decrease in pH below the normal range. In the context of antacid ingestion, metabolic acidosis is less likely to occur. However, if the antacids contain compounds that are absorbed systemically and excreted by the kidneys (such as aluminum-containing antacids), they may lead to renal dysfunction or electrolyte imbalances, which could potentially contribute to metabolic acidosis.
D. Respiratory acidosis occurs when there is an increase in carbon dioxide (CO2) levels in the blood, leading to a decrease in pH below the normal range. Antacid tablets do not directly affect respiratory function or CO2 levels, so respiratory acidosis is unlikely to occur as a result of antacid ingestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. The renal arteries are not typically located in the right upper quadrant. This area primarily contains the liver, gallbladder, and portions of the small intestine and large intestine. Therefore, RUQ is not associated with the location of the renal arteries.
D. LUQ (Left Upper Quadrant): The renal arteries are not typically located in the left upper quadrant. This area primarily contains the spleen, stomach, pancreas, and portions of the small intestine and large intestine. Therefore, LUQ is not associated with the location of the renal arteries.
B. Hypogastric: The hypogastric region, also known as the pubic region or lower abdominal region, is located below the umbilical region (lower middle abdomen). The renal arteries are not typically located in the hypogastric region. This area primarily contains structures such as the bladder, uterus (in females), and reproductive organs. Therefore, hypogastric is not associated with the location of the renal arteries.
C. LLQ (Left Lower Quadrant): The renal arteries are not typically located in the left lower quadrant. This area primarily contains the descending colon, sigmoid colon, and portions of the small intestine. Therefore, LLQ is not associated with the location of the renal arteries.
E. RLQ (Right Lower Quadrant): The renal arteries are not typically located in the right lower quadrant. This area primarily contains the appendix, cecum, ascending colon, and portions of the small intestine. Therefore, RLQ is not associated with the location of the renal arteries.
Correct Answer is A
Explanation
A. It's essential for nurses caring for dying patients to be comfortable with their own feelings about death and dying. Being comfortable with mortality allows nurses to provide compassionate care, support families, and engage in end-of-life discussions with patients. Nurses who are comfortable with their own feelings about death are better equipped to provide holistic care and support to dying patients and their families.
B. Hospice services focus on providing comfort and support to terminally ill patients and their families during the end-of-life journey. While hospice services are often beneficial and recommended for patients approaching the end of life, preferences vary among individuals and families. Some patients may choose to receive hospice care, while others may prefer to remain at home with palliative care support or receive care in a hospital or long-term care facility.
C. While some patients may experience pain as death nears, it is not necessarily true that "most" deaths are accompanied by significant pain. With advances in palliative care and pain management, many patients can experience a comfortable and peaceful death with effective symptom management.
D. Most people are not frightened to die if they have adequate information about what is happening: While adequate information and preparation can alleviate some fears about death, attitudes and responses to death vary widely among individuals. Some people may find comfort and acceptance in understanding the dying process and what to expect, while others may still experience fear, anxiety, or uncertainty regardless of the information provided.
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