A nurse in an emergency department is admitting a client who has overdosed on antacids and is in a state of metabolic alkalosis. For which of the following manifestations should the nurse monitor?

Diarrhea

Bradycardia

Tinnitus

Tetany

Answer and Explanation

The Correct Answer is D

A) Diarrhea: Metabolic alkalosis is more likely to be associated with constipation rather than diarrhea. Diarrhea is typically a cause of metabolic acidosis due to the loss of bicarbonate in stool, rather than a result of metabolic alkalosis.

B) Bradycardia: Bradycardia is not a typical manifestation of metabolic alkalosis. Alkalosis can lead to arrhythmias, but it generally does not cause a slow heart rate. Instead, tachycardia might occur as the body compensates for the altered acid-base balance.

C) Tinnitus: Tinnitus is not a common symptom of metabolic alkalosis. It is more often associated with aspirin toxicity or other conditions affecting the auditory system, rather than changes in acid-base balance.

D) Tetany: Tetany is a common manifestation of metabolic alkalosis. The alkalosis causes a decrease in ionized calcium levels, which increases neuromuscular excitability and can lead to muscle cramps, spasms, and tetany. This is a key sign for nurses to monitor as it indicates significant electrolyte disturbances associated with the alkalotic state.

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Correct Answer is ["B","C","E"]

Explanation

A) Urticaria:
Urticaria, or hives, is a skin reaction characterized by itchy, raised welts. It is not typically associated with a small bowel obstruction, which primarily affects the gastrointestinal system rather than the skin.

B) Vomiting:
Vomiting is a common symptom of a complete small bowel obstruction. It occurs due to the blockage in the intestines, which prevents the passage of contents, leading to nausea and vomiting as the body tries to expel the obstruction.

C) Distended abdomen:
A distended abdomen is expected in cases of small bowel obstruction. The blockage causes a buildup of gas and fluids, leading to abdominal swelling and distention as the normal passage of intestinal contents is impeded.

D) Fluid overload:
Fluid overload is not a typical manifestation of a small bowel obstruction. Instead, dehydration and electrolyte imbalances are more likely due to vomiting and the inability to absorb fluids and nutrients properly.

E) Obstipation:
Obstipation, or severe constipation with an inability to pass stool or gas, is a key sign of a complete small bowel obstruction. The obstruction prevents the normal movement of intestinal contents, leading to a cessation of bowel movements.

A. "You should limit medications containing aspirin while taking this supplement." B. "Notify your provider if you develop tinnitus." C. "You should increase your daily intake of protein while taking this supplement." D. "Taking glucosamine can decrease blood glucose levels."

Correct Answer is D

Explanation

A. "You should limit medications containing aspirin while taking this supplement.": There is no direct interaction between glucosamine and aspirin that requires limiting the use of aspirin. However, glucosamine and aspirin generally do not have a known interaction that would necessitate this precaution.

B. "Notify your provider if you develop tinnitus.": Tinnitus is not a known side effect of glucosamine. This statement would be more relevant for medications such as aspirin or other drugs known to cause tinnitus.

C. "You should increase your daily intake of protein while taking this supplement.": There is no specific requirement to increase protein intake when taking glucosamine. The focus should be on managing osteoarthritis symptoms and following general dietary recommendations rather than specifically increasing protein.

D. "Taking glucosamine can decrease blood glucose levels.": Some studies suggest that glucosamine might influence blood glucose levels, particularly in people with diabetes. This statement is relevant because it highlights the potential impact of glucosamine on glucose metabolism, which is important for clients managing diabetes or blood glucose levels.

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A nurse in an emergency department is admitting a client who has overdosed on antacids and is in a state of metabolic alkalosis. For which of the following manifestations should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a complete small bowel obstruction. Which of the following manifestations should the nurse expect? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is providing teaching to a client who has osteoarthritis and reports taking a glucosamine supplement daily. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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