A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

Metabolic acidosis

Metabolic alkalosis

Respiratory alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is B

A.   Severe vomiting can lead to a loss of gastric acid, resulting in metabolic alkalosis and not acidosis.
B.   A client who is experiencing severe nausea and vomiting may lose gastric acid through vomitus and develop metabolic alkalosis, which is a condition characterized by a high pH (greater than 7.45) and a high bicarbonate (greater than 26 mEq/L). Metabolic alkalosis can cause confusion, tremors, tetany, and hypokalemia.
C. Respiratory alkalosis is not typically associated with vomiting; it is more often seen in conditions with hyperventilation.
D.   Respiratory acidosis is not the primary acid-base imbalance associated with vomiting; it is more commonly associated with conditions affecting lung function.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

To calculate the dose of potassium chloride suspension, the nurse needs to use the following formula:

Dose (mL) = Ordered dose (mEq) / Available dose (mEq/mL) Plugging in the values from the question, we get:

Dose (mL) = 20 mEq / 10 mEq/mL Dose (mL) = 2 mL

Therefore, the nurse should administer 2 mL of potassium chloride suspension PO daily.

A. Bilateral flank pain. B. Blood pressure 184/92 mm Hg. C. Generalized urticaria. D. Distended jugular veins.

Correct Answer is C

Explanation

A. Bilateral flank pain is more indicative of a possible renal issue, not an allergic transfusion reaction.
B. Elevated blood pressure is not a typical sign of an allergic transfusion reaction.
C. Generalized urticaria (hives) is a classic manifestation of an allergic transfusion reaction.
D. Distended jugular veins are not typically associated with an allergic transfusion reaction.

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A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

Correct Answer is C

Explanation

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