A nurse reviewing the medical record of a patient who has metabolic acidosis should realize that which of the following findings contributes to the development of metabolic acidosis?
Diarrhea
Salicylate intoxication
Vomiting
Hyperventilation
The Correct Answer is A
Choice A reason: Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate, which is a base, leading to a relative increase in acidity.
Choice B reason: Salicylate intoxication can initially cause respiratory alkalosis due to hyperventilation, but may later lead to metabolic acidosis as the body compensates.
Choice C reason: Vomiting typically leads to a loss of gastric acid, which would cause metabolic alkalosis, not acidosis.
Choice D reason: Hyperventilation is more commonly associated with respiratory alkalosis due to the excessive loss of CO2, which is an acid, not metabolic acidosis.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Peripheral edema is typically associated with fluid overload, not hypovolemia, which is a decreased volume of circulating blood in the body.
Choice B reason: Bradycardia, or a slow heart rate, is not commonly associated with hypovolemia. Tachycardia, or a rapid heart rate, may occur as the body atempts to compensate for the reduced blood volume.
Choice C reason: Cyanosis, which is a bluish discoloration of the skin due to lack of oxygen, is not a direct sign of hypovolemia.
Choice D reason: Hypotension, or low blood pressure, is a common finding in hypovolemia as there is less blood circulating through the body.
Correct Answer is B
Explanation
Choice A reason: Hypoactive bowel sounds are not typically associated with hypocalcemia.
Choice B reason: Tingling of the lips, also known as paresthesia, is a common symptom of hypocalcemia due to the effect of low calcium levels on nerve function.
Choice C reason: Decreased deep tendon reflexes are more commonly associated with hypercalcemia, not hypocalcemia.
Choice D reason: Skeletal muscle weakness can be a symptom of severe hypocalcemia, but tingling of the lips is a more immediate and common finding.
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