0600
A 72-year-old client is admitted with a 3-day history of vomiting, poor oral intake, and recent diuretic therapy for heart failure. Assessment reveals dry mucous membranes, decreased skin turgor, and generalized weakness. On examination, the client’s blood pressure is 88/56 mm Hg, heart rate is 110 bpm, respiratory rate is 10 breaths per minute, and temperature is 98.7°F (37.1°C).
The nurse is reviewing the client’s findings and considering their acute condition.
Choose the most appropriate options to complete the sentence by selecting from the lists of options provided.
The nurse recognizes that the client is most likely experiencing [metabolic acidosis / metabolic alkalosis / respiratory acidosis] , the imbalance is [uncompensated / partially compensated / fully compensated] , and the primary contributing factor is [loss of gastric acid through vomiting / retention of carbon dioxide due to hypoventilation / overuse of loop diuretics causing electrolyte shifts] .
Sign in to reveal the correct answer & rationale
A free account unlocks answers for the preview questions in every exam. A pass unlocks all of them.