A nurse is caring for a client who has metabolic acidosis. Which of the following could be a cause for the for metabolic acidosis?

Breast cancer

Parathyroidectomy

Use of salicylates

Rhabdomyolysis

Answer and Explanation

The Correct Answer is C

A. Breast cancer: Breast cancer itself does not cause metabolic acidosis. However, in rare cases, tumor lysis syndrome from aggressive cancer treatment can lead to metabolic acidosis due to increased release of intracellular acids.

B. Parathyroidectomy: Removal of the parathyroid glands can cause hypocalcemia, but it does not directly lead to metabolic acidosis.

C. Use of salicylates: Salicylate toxicity (aspirin overdose) can cause metabolic acidosis due to the accumulation of lactic acid and ketoacids.

D. Rhabdomyolysis: Rhabdomyolysis causes metabolic acidosis due to the breakdown of muscle tissue, leading to the release of myoglobin, potassium, and acids into the bloodstream.

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Correct Answer is D

Explanation

A. Ensure an NPO status is maintained for the length of the prescribed treatment: While some ventilated patients are NPO, others receive enteral feeding. NPO status alone does not prevent aspiration.

B. Perform chest physiotherapy as prescribed by the practitioner: Chest physiotherapy helps clear secretions but does not directly reduce aspiration risk.

C. Limit each suctioning event to no more than 10 seconds: While limiting suction time is important to avoid hypoxia, it does not directly prevent aspiration.

D. Elevate the head of the bed between 30 to 45 degrees: Keeping the head of the bed elevated reduces the risk of aspiration, partic

A. Educate the patient at the time period before new medications before affective B. Have the client verbalize their plans for discharge C. Encouraging the client to participate in group therapy D. Monitor the client closely but at random intervals

Correct Answer is D

Explanation

A. Educate the patient about the time period before new medications become effective. Education is important but not the priority in a crisis situation. Immediate safety is the top concern.

B. Have the client verbalize their plans for discharge. This is a future-oriented intervention, but the priority is ensuring the client's safety now.

C. Encouraging the client to participate in group therapy. Group therapy is beneficial but does not take precedence over ensuring immediate safety.

D. Monitor the client closely but at random intervals. Patients with suicidal ideation require close monitoring to prevent self-harm. Observing at random intervals reduces the chance of the patient anticipating when they are not being watched.

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A nurse is caring for a client who has metabolic acidosis. Which of the following could be a cause for the for metabolic acidosis?

Nursing Test Bank

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Correct Answer is D

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