A nurse is planning to teach a client about a high-potassium diet. Which of the following foods should the nurse instruct the client to eat? (Select all that apply)

Grapes

Nuts

Watermelon

Sweet potato

Bananas

Answer and Explanation

Correct Answer : B,D,E

Choice A: Grapes is incorrect because it is a low-potassium food, containing only 176 mg of potassium per cup. The nurse should instruct the client to avoid or limit low-potassium foods, as they can worsen hypokalemia, or low potassium level.

Choice B: Nuts is correct because it is a high-potassium food, containing 200 to 300 mg of potassium per ounce. The nurse should instruct the client to eat more high-potassium foods, as they can help prevent or treat hypokalemia.

Choice C: Watermelon is incorrect because it is also a low-potassium food, containing only 170 mg of potassium per cup. The nurse should instruct the client to avoid or limit low-potassium foods, as they can worsen hypokalemia.

Choice D: Sweet potato is correct because it is also a high-potassium food, containing 448 mg of potassium per medium-sized potato. The nurse should instruct the client to eat more high-potassium foods, as they can help prevent or treat hypokalemia.

Choice E: Bananas is correct because it is also a high-potassium food, containing 422 mg of potassium per medium- sized banana. The nurse should instruct the client to eat more high-potassium foods, as they can help prevent or treat hypokalemia.

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Correct Answer is B

Explanation

Choice A: A client who is taking a thiazide diuretic is not at risk for metabolic acidosis, but rather for metabolic alkalosis. This is a condition that occurs when the body has too much bicarbonate or loses too much acid. This can happen in patients who take thiazide diuretics, which increase the excretion of sodium, chloride, and water, but also cause the retention of bicarbonate.

Choice B: A client who has diarrhea is at risk for metabolic acidosis, because this condition occurs when the body produces too much acid or loses too much bicarbonate. This can happen in patients who have diarrhea, which causes the loss of intestinal ﬂuids that contain bicarbonate and other bases.

Choice C: A client who is vomiting is not at risk for metabolic acidosis, but rather for metabolic alkalosis. This is a condition that occurs when the body has too much bicarbonate or loses too much acid. This can happen in patients who have vomiting, which causes the loss of gastric ﬂuids that contain hydrochloric acid and other acids.

Choice D: A client who has salicylate intoxication is at risk for metabolic acidosis, because this condition occurs when the body produces too much acid or loses too much bicarbonate. This can happen in patients who have salicylate intoxication, which is a toxic reaction to aspirin or other salicylates. Salicylates increase the production of organic acids and interfere with the renal excretion of acids.

A. Anticipate the administration of intravenous sodium bicarbonate. B. Prepare to start an intravenous ﬂuid bolus using isotonic ﬂuids. C. Immediately administer oxygen via a mask and monitor oxygen saturation. D. Encourage the patient to breathe in and out slowly into a paper bag.

Correct Answer is D

Explanation

Choice A: Anticipating the administration of intravenous sodium bicarbonate is incorrect because this would increase the pH and worsen the alkalosis. Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis.

Choice B: Preparing to start an intravenous ﬂuid bolus using isotonic ﬂuids is incorrect because this would not aﬀect the pH or the PaCO2. Isotonic ﬂuids are used to treat ﬂuid volume deficit, not respiratory alkalosis.

Choice C: Immediately administering oxygen via a mask and monitoring oxygen saturation is incorrect because this would decrease the respiratory drive and increase the PaCO2. Oxygen therapy is used to treat hypoxemia, not respiratory alkalosis.

Choice D: Encouraging the patient to breathe in and out slowly into a paper bag is correct because this would increase the PaCO2 and lower the pH. Rebreathing carbon dioxide is a common treatment for respiratory alkalosis caused by hyperventilation.

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A nurse is planning to teach a client about a high-potassium diet. Which of the following foods should the nurse instruct the client to eat? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

Correct Answer is B

Explanation

The nurse is caring for a patient who is anxious and dizzy following a traumatic experience. The arterial blood gas findings include: pH 7.48, PaO2 110, PaCO2 25, and HCO3 24. Which intervention should the nurse expect to be prescribed to correct this problem?

Correct Answer is D

Explanation

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