A nurse is reviewing the medical record of a client who has metabolic acidosis.
The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?
Hyperventilation.
Diarrhea.
Salicylate intoxication.
Vomiting.
The Correct Answer is B
Choice A rationale:
Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.
Choice B rationale:
Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.
Choice C rationale:
Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.
Choice D rationale:
Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.
Choice B rationale:
Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.
Choice C rationale:
Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.
Choice D rationale:
Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.
Correct Answer is ["50"]
Explanation
The correct answer is 50 gtt/min.
Calculation: First, calculate the total volume to be administered per minute: 400 mL / 8 hr = 50 mL/hr. Then, convert hours to minutes: 50 mL/hr * 1 hr/60 min = 0.833 mL/min. Finally, calculate the drip rate: 0.833 mL/min * 60 gtt/mL = 50 gtt/min.
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