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    Ati lpn nur 113 med surg proctored exam acid-base

    Which laboratory data and clinical manifestations cause you to suspect your client may be experiencing acidosis?

    Explanation & Rationale

    Rationale: A. A serum potassium of 6.5 mEq/L indicates hyperkalemia, which can occur in acidosis as hydrogen ions shift into cells and potassium shifts out. Flaccid paralysis is a serious neuromuscular manifestation of severe hyperkalemia and supports a diagnosis of acidosis. B. A potassium level of 4.5 mEq/L is normal, and hyperactive DTRs are more often associated with alkalosis, not acidosis. C. A sodium level of 144 mEq/L is normal, and while tachycardia may occur in many conditions, it is nonspecific and does not indicate acidosis. D. A sodium level of 130 mEq/L indicates hyponatremia, and peripheral edema is more related to fluid imbalance or heart failure, not acidosis.

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