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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. S1: S1 is the first heart sound, heard at the beginning of systole, and is not related to diastolic dysfunction.

B. S4: This is the correct answer. An S4 sound is heard late in diastole, often due to increased resistance to filling during diastole, which is typical in diastolic dysfunction.

C. S3: An S3 is a low-pitched sound heard early in diastole, typically associated with systolic dysfunction or heart failure with reduced ejection fraction.

D. S2: S2 is the second heart sound, heard during the end of systole and is not associated with diastolic dysfunction.

A. Place the client on bleeding precautions. B. Place the client in a private room. C. Document findings in the client's chart D. Collect blood cultures and start antibiotics.

Correct Answer is B

Explanation

A. Bleeding precautions are not required as the issue pertains to neutropenia, not thrombocytopenia.

B. Placing the client in a private room is appropriate as the ANC calculation (WBC × [% neutrophils]) indicates severe neutropenia, increasing the risk of infection.

C. Simply documenting findings does not address the client’s increased infection risk.

D. Blood cultures and antibiotics may be needed later but require additional signs of infection to proceed.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client admitted to a medical - surgical unit has a CBC with differential drawn. Lab results show a WBC count of 4000, with neutrophil segments at 5% and neutrophil bands at 5%. Based on these values what would the nurse do? Calculate the absolute neutrophil count

Correct Answer is B

Explanation

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