After completing the planning step of the nursing process for a client who has an acid-base imbalance, which of the following steps should the nurse take next?
Evaluation
Data Collection
Re-collection of Data
Implementation
The Correct Answer is D
Choice A reason: Evaluation is the final step of the nursing process, where the nurse assesses the client's response to the nursing interventions.
Choice B reason: Data Collection is the first step of the nursing process, where the nurse gathers information about the client's health status.
Choice C reason: Re-collection of Data may be necessary if there are changes in the client's condition, but it is not the immediate next step after planning.
Choice D reason: Implementation is the correct answer because it is the step where the nurse puts the care plan into action, following the planning step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Aluminum-containing antacids are more likely to cause constipation rather than diarrhea.
Choice B reason: Magnesium-containing antacids can cause diarrhea because magnesium can act as an osmotic laxative, drawing water into the intestines and increasing peristalsis.
Choice C reason: While antibiotics can disrupt the gut flora and potentially cause diarrhea, they are not the best
answer when compared to magnesium-containing antacids specifically known for this side effect.
Choice D reason: Anticholinergics/antispasmodics typically reduce gastrointestinal motility, which would more likely lead to constipation instead of diarrhea.
Choice E reason: Opioid narcotics are known to cause constipation due to reduced gut motility, not diarrhea
Correct Answer is C
Explanation
Choice A reason: Metabolic Acidosis typically results from conditions that increase acid production or decrease acid excretion, not from vomiting.
Choice B reason: Respiratory Acidosis is caused by hypoventilation leading to an accumulation of carbon dioxide, which is not directly related to vomiting.
Choice C reason: Metabolic Alkalosis can occur due to the loss of stomach acids through prolonged vomiting, leading to an excess of bicarbonate in the body fluids.
Choice D reason: Respiratory Alkalosis is usually caused by hyperventilation, not by vomiting.
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