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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weight loss: Antipsychotics are more commonly associated with weight gain, particularly atypical antipsychotics like olanzapine and clozapine.
B. Headache: While headaches may occur, they are not among the most common side effects of antipsychotics.
C. Dry mouth: Antipsychotics often cause dry mouth due to their anticholinergic effects. Other anticholinergic side effects include constipation and blurred vision.
D. Insomnia: Antipsychotics are more likely to cause sedation rather than insomnia, particularly first-generation agents like chlorpromazine.
Correct Answer is B
Explanation
A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.
B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.
C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.
D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.
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