A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select 3 manifestations)

Rationale: A. Flushing is not a typical sign of metabolic alkalosis; pallor may occur, but flushing is more associated with fever or vasodilation. B. Hyperactive reflexes can occur due to increased neuromuscular excitability associated with alkalosis. C. Metabolic alkalosis can lead to shallow, slow respirations as a compensatory response to retain CO₂. D. Cardiac dysrhythmias may occur due to hypokalemia and electrolyte imbalances often present in metabolic alkalosis. E. Abdominal pain is not a hallmark feature of metabolic alkalosis — it is more associated with gastrointestinal disorders like peritonitis or infections.