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. "Check your oxygen equipment once each week.": Oxygen equipment should be checked daily for proper function and leaks, not just weekly.
B. "Use wool blankets on your bed.": Wool and synthetic fabrics generate static electricity, which can ignite oxygen. Cotton blankets should be used instead.
C. "Store unused oxygen tanks horizontally.": Oxygen tanks should always be stored upright and secured to prevent tipping over.
D. "Do not adjust the oxygen flow rate.": Clients should not change the oxygen flow rate unless instructed by the provider, as improper adjustments can cause oxygen toxicity or hypoxia.
Correct Answer is D
Explanation
A. Employer. An employer is not a unique patient identifier.
B. Medical record number. A medical record number is a unique identifier and is a recommended method for verifying the right patient.
C. Maiden name. A maiden name is not a reliable identifier, as patients may change names over time.
D. Date of birth: The date of birth is a critical and commonly used patient identifier, often paired with another piece of information (such as name or medical record number). It is specific and unique to the patient, making it ideal for ensuring the right individual receives care.
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