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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

While calling 911 is important, it is not the first action the nurse should take. The nurse should first assess the victim’s condition.

Choice B rationale:

The first action when someone is choking is to ask if they can speak. If they can speak, it means air is still passing through the windpipe.

Choice C rationale:

The jaw-thrust maneuver is used to open the airway in an unconscious victim, not in a choking victim.

Choice D rationale:

Abdominal thrusts (Heimlich maneuver) are used when the victim cannot speak, indicating a complete airway obstruction.

A. Increased deep tendon reflexes. B. Erythema of the skin. C. Bradycardia. D. Hypotension.

Correct Answer is D

Explanation

Choice A rationale:

Increased deep tendon reflexes are not typically associated with anaphylaxis. This is more commonly seen in conditions affecting the nervous system.

Choice B rationale:

While erythema of the skin can occur in anaphylaxis, it is not the most indicative symptom of this condition.

Choice C rationale:

Bradycardia is not typically associated with anaphylaxis. Anaphylaxis is more likely to cause tachycardia, or a rapid heart rate.

Choice D rationale:

Hypotension, or low blood pressure, is a common symptom of anaphylaxis. This occurs due to widespread vasodilation in response to the allergen.

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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?

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Naxlex Comprehensive Predictor Exams

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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?