Health Promotion and Maintenance
25. Which conditions in children and/or adolescents should a nurse identify as being associated with metabolic alkalosis? Select all that apply.
Test-Taking Tip
Recall that metabolic alkalosis is caused by excess loss of acid or excess intake of base.
Content Area: Child Health, Acid-Base; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Fluid and Electrolyte Imbalances
Health Promotion and Maintenance
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Answer 1 is correct because children with pyloric stenosis experience loss of stomach acid from excessive vomiting. Answer 2 is incorrect because a complication of diabetes is diabetic ketoacidosis, not metabolic alkalosis. Answer 3 is incorrect because this condition results in metabolic acidosis due to build-up of uric acid. Answer 4 is correct because children with bulimia nervosa vomit frequently, resulting in a loss of stomach acid. Answer 5 is incorrect because aspirin (acetylsalicylic acid) ingestion results in metabolic acidosis due to the large intake of acid.