A nurse is collecting data from a patient who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?

Hyperventilation

Cold, clammy skin

Increased blood pressure

Bradycardia

Answer and Explanation

The Correct Answer is A

Choice A reason: Hyperventilation is a compensatory mechanism in metabolic acidosis where the body tries to decrease carbon dioxide levels to balance the acidity.

Choice B reason: Cold, clammy skin is not a typical manifestation of metabolic acidosis; it may be associated with shock or hypoglycemia.

Choice C reason: Increased blood pressure is not directly related to metabolic acidosis. It can be inﬂuenced by various factors, including stress or other underlying conditions.

Choice D reason: Bradycardia, or a slow heart rate, is not a common manifestation of metabolic acidosis. Tachycardia, or a fast heart rate, might be observed instead.

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Correct Answer is B

Explanation

Choice A reason: A pH of 7.39 is near the lower end of the normal range (7.35-7.45) and would not typically indicate respiratory acidosis.

Choice B reason: A pH of 7.31 is below the normal range, indicating an acidic environment, which is consistent with respiratory acidosis.

Choice C reason: A pH of 7.48 is above the normal range, indicating a more alkaline environment, which would suggest respiratory alkalosis, not acidosis.

Choice D reason: A pH of 7.50 is also above the normal range and would indicate alkalosis rather than acidosis.

A. The patient who has advance directives B. The patient's son, who has a durable power of atorney C. The patient's daughter, who is the primary caregiver D. The patient's nurse, who assists with care

Correct Answer is B

Explanation

Choice A reason: Advance directives are instructions given by the patient for future care, not for giving consent for current procedures.

Choice B reason: A durable power of atorney for healthcare allows an individual to make medical decisions on behalf of the patient if they are unable to do so themselves.

Choice C reason: Being the primary caregiver does not automatically grant the legal authority to give consent for medical procedures.

Choice D reason: The nurse's role is to facilitate the consent process, not to give consent on behalf of the patient.

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A nurse is collecting data from a patient who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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