An emergency department nurse admits a client who has tried to commit suicide by taking an overdose of hydromorphone (Dilaudid), a narcotic. For which acid-base imbalance should the nurse assess this client for?

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is D

Rationale:
A. Respiratory alkalosis results from hyperventilation, which is unlikely with opioid overdose.
B. Metabolic acidosis can occur from other causes but is not the primary imbalance here.
C. Metabolic alkalosis is not associated with opioid overdose.
D. Respiratory acidosis occurs due to hypoventilation caused by opioid-induced respiratory depression, leading to CO₂ retention and decreased pH.

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Correct Answer is C

Explanation

Rationale:
A. Urinary catheters drain urine but do not typically cause significant electrolyte loss leading to hypokalemia.
B. Chest tubes remove air, blood, or fluid from the pleural space but do not significantly affect potassium levels.
C. NG (nasogastric) tubes to suction can lead to hypokalemia because they remove gastric contents, which include potassium and other electrolytes. Prolonged suctioning can cause significant electrolyte imbalances.
D. Nephrostomy tubes drain urine directly from the kidney and do not typically lead to potassium depletion unless there is a high-output or concurrent renal dysfunction.

Correct Answer is ["1637"]

Explanation

Rationale:

Military time, also known as the 24-hour clock, is a method of telling time where the hours of the day run from 00:00 to 23:59, rather than resetting at noon and midnight like in standard 12-hour time (AM/PM). 4:37 PM in military time is 1637.

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An emergency department nurse admits a client who has tried to commit suicide by taking an overdose of hydromorphone (Dilaudid), a narcotic. For which acid-base imbalance should the nurse assess this client for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for four clients who have drainage tubes, The nurse should identify the client who has which of the following tubes as being at risk for hypokalemia?

Correct Answer is C

Explanation

Convert traditional time of 4:37pm to military time

Correct Answer is ["1637"]

Explanation

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