After providing discharge teaching, a nurse assesses the client's understanding regarding increased risk for metabolic alkalosis. Which statement indicates that the client needs additional teaching?
"In hot weather, I sweat so much that I drink six glasses of water each day."
"I take sodium bicarbonate after every meal to prevent heartburn."
"I don't drink milk because it gives me gas and diarrhea."
"I have been taking digoxin every day for the last 15 years."
The Correct Answer is B
A. Drinking water in hot weather is important to prevent dehydration. This is not a risk factor for metabolic alkalosis unless the client is excessively losing electrolytes through sweating and not replacing them.
B. Sodium bicarbonate is an alkaline substance, and regular use, especially after meals, can contribute to metabolic alkalosis. The client should be instructed on the potential risks of using sodium bicarbonate too frequently.
C. Avoiding milk due to gastrointestinal symptoms does not directly contribute to metabolic alkalosis.
D. Digoxin does not directly affect acid-base balance, but it requires monitoring due to potential interactions with other medications or electrolyte imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Finasteride does not need to be taken on an empty stomach.
B. Finasteride can cause harm to a developing male fetus, and pregnant women should avoid handling it to prevent potential absorption through the skin.
C. Finasteride is an oral medication and is not administered as an intramuscular injection.
D. Hair loss is not a common adverse effect of finasteride; in fact, it is used to treat hair loss in men with benign prostatic hyperplasia.
Correct Answer is C
Explanation
A. A mild pain level of 3/10 is common after angioplasty and is not immediately concerning.
B. Minimal bruising at the groin is expected after this procedure and is not alarming.
C. A weakened pedal pulse and a cool leg could indicate compromised circulation, which is a serious concern post-angioplasty. Immediate assessment is needed to check for possible complications such as re-occlusion.
D. A blood pressure of 154/78 mmHg is somewhat elevated but not alarming.
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