Nokea
Which are accurate statements about metabolic alkalosis?
- A. The patient may have a marked increase in sodium bicarbonate levels.
- B. The patient may have taken excessive amounts of antacids.
- C. The patient may have a marked loss of hydrogen ions.
- D. The patient may have had prolonged diarrhea.
Correct Answer: A,B,C
Rationale: Metabolic alkalosis involves increased bicarbonate or loss of hydrogen ions, often from excessive antacid use, but not prolonged diarrhea, which causes acidosis.
You may also like to solve these questions
If the patient's blood pH is 7.47, the patient is in
- A. Alkalosis.
- B. Acidosis.
- C. Hypovolemic shock.
- D. Tetany.
Correct Answer: A
Rationale: A blood pH of 7.47 is above the normal range (7.35-7.45), indicating alkalosis.
The Institute of Medicine recommends that an average adult needs????.milligrams of potassium per day for optimal health.
- A. 3500
- B. 4000
- C. 3700
- D. 2800
Correct Answer: A
Rationale: The Institute of Medicine recommends approximately 3500 mg of potassium daily for adults to support optimal health.
Which of the following statements is(are) accurate about caring for patients with hypocalcemia?
- A. IV infusion of calcium can cause bradycardia.
- B. Assess for tingling around the mouth or tips of the fingers.
- C. Assess the patient's lungs frequently for crackles and the patient for shortness of breath.
- D. Monitor for muscle twitching and tetany.
Correct Answer: A,B,D
Rationale: Hypocalcemia care involves monitoring for tingling, muscle twitching, tetany, and potential bradycardia from IV calcium administration.
Ionized calcium is needed for which of the following body functions?
- A. Delivery of glucose into the cells
- B. Transmission of electrical impulses along nerve pathways
- C. Normal oxygen saturation
- D. Normal bowel function
- E. Muscle contraction and relaxation
Correct Answer: B,E
Rationale: Ionized calcium is essential for nerve impulse transmission and muscle contraction/relaxation.
Which laboratory results do you need to check for a patient to whom you are giving furosemide, a loop diuretic?
- A. Hemoglobin
- B. White blood cell count
- C. Urinalysis
- D. Potassium level
Correct Answer: D
Rationale: Furosemide can cause potassium loss, so monitoring potassium levels is critical to prevent hypokalemia.