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 D
Explanation
A. "The goal for your pain is 0 on a 0 to 10 scale.": A pain score of 0 may not always be realistic postoperatively. The goal is pain control, not complete elimination.
B. "It is better not to have visitors if you are in pain.": Social support can be beneficial in pain management, and visitors should not necessarily be restricted unless the patient finds them distressing.
C. "You will be given the lowest strength pain medication first.": Pain management is individualized, and stronger analgesics may be needed initially, especially after surgery.
D. "It is important that you request pain medication before the pain gets too severe.": Preemptive pain management helps prevent pain from becoming severe and difficult to control. Patients should be encouraged to ask for medication before pain intensifies.
Correct Answer is ["B","D"]
Explanation
A. Insomnia: Mood stabilizers like lithium and valproate generally cause sedation rather than insomnia.
B. Nausea and vomiting: Gastrointestinal upset is a common side effect of mood stabilizers, especially lithium and valproate.
C. Hair growth: Some mood stabilizers, like valproate, may cause hair loss (alopecia), not increased hair growth.
D. Liver & kidney damage: Lithium can cause kidney damage with prolonged use, while valproate and carbamazepine can lead to liver toxicity.
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