A nurse is collecting data from a client who reports persistent vomiting, dizziness, palpitations, and numbness and tingling in his fingers and toes, and around his mouth.
The nurse notes the client's respirations are slow and shallow.
The nurse should suspect that the client has developed which of the following acid-base imbalances?
Metabolic acidosis.
Metabolic alkalosis.
Respiratory alkalosis.
Respiratory acidosis.
The Correct Answer is B
Choice A rationale:
Metabolic acidosis would likely present with rapid, deep breathing (Kussmaul respirations), not slow and shallow breathing.
Choice B rationale:
The client’s symptoms of vomiting (which can cause a loss of stomach acid), dizziness, palpitations, and numbness and tingling in the extremities and around the mouth are consistent with metabolic alkalosis.
Choice C rationale:
Respiratory alkalosis would likely present with rapid breathing, not slow and shallow breathing.
Choice D rationale:
Respiratory acidosis would likely present with rapid, shallow breathing, not slow and shallow breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While it’s important to start CPR as soon as possible, the AED should be attached as soon as it’s available.
Choice B rationale:
The American Heart Association recommends providing chest compressions at a rate of 100-120/min during CPR.
Choice C rationale:
Checking for a brachial pulse is not a priority during CPR. The focus should be on providing chest compressions and rescue breaths.
Choice D rationale:
The correct ratio of compressions to breaths during CPR is 30:2, not 50:2.
Correct Answer is B
Explanation
Choice A rationale:
Bradycardia, or a slow heart rate, is not typically an early sign of circulatory overload.
Choice B rationale:
Dyspnea, or difficulty breathing, is an early sign of circulatory overload. This occurs because the heart is unable to pump the excess blood effectively, leading to fluid buildup in the lungs.
Choice C rationale:
Flushing, or reddening of the skin, is not typically an early sign of circulatory overload.
Choice D rationale:
Vomiting is not typically an early sign of circulatory overload.
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