A nurse is reviewing laboratory results for a client who has metabolic alkalosis. Which of the following blood gas values should the nurse expect?

A. Preoccupied with details: Clients with obsessive-compulsive personality disorder (OCPD) often focus excessively on rules, order, and minor details, which can interfere with task completion. This rigidity is a hallmark feature of the disorder.

B. Perfection: A strong need for perfectionism is characteristic of OCPD. Clients set unrealistically high standards for themselves and others, often leading to frustration and impaired functioning when these standards are not met.

C. Suspicious of others: Suspiciousness is more characteristic of paranoid personality disorder, not OCPD. Clients with OCPD are typically preoccupied with order and control rather than distrust of others’ motives.

D. Highly critical of self: Clients with OCPD tend to be self-critical and overly focused on flaws or mistakes, which reinforces rigid behaviors and perfectionistic tendencies.

E. Exploitative: Exploitative behavior is more characteristic of antisocial personality disorder. Clients with OCPD are generally rule-bound and conscientious rather than taking advantage of others for personal gain.

A. Decreased hemoglobin level: A reduction in hemoglobin is not an expected effect of furosemide and may indicate anemia or another unrelated condition. It does not reflect the diuretic’s effectiveness in managing fluid overload.

B. Increased weight of 0.91 kg (2 lb): An increase in weight suggests fluid retention rather than loss. Effective furosemide therapy should result in stable or decreased weight as excess fluid is excreted. Monitoring weight helps assess fluid balance in heart failure patients.

C. Decreased BUN level: Changes in BUN are influenced by multiple factors including renal function, hydration, and protein intake. A decrease is not a reliable indicator of furosemide effectiveness in reducing fluid volume.

D. Increased urinary output: Furosemide is a loop diuretic that promotes excretion of sodium and water. An increase in urinary output indicates that the medication is effectively removing excess fluid, reducing edema, and alleviating symptoms of heart failure.