Approach to metabolic acidosis Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
Learning videos
Flashcards
Expert reviewed
Spaced Repetition
Mobile app
Custom Quizzes
1 of 4
A 21-year-old woman presents to the emergency department because of two days of abdominal pain, nausea, malaise, and increased thirst. Symptoms were initially intermittent at onset but are now constant. The patient has no significant past medical history and does not currently take any medications. Temperature is 37.6 ºC (99.7 ºF), pulse is 120/min, respiratory rate is 20/min, and blood pressure is 110/66 mm Hg. On physical examination, the patient appears uncomfortable. Mucous membranes are dry, and there is decreased skin turgor. There is mild, diffuse abdominal tenderness to palpation without rebound or guarding. Laboratory results are shown below. The patient is given one liter of 0.9% saline. Which of the following is the most appropriate next step in management?
| Serum Laboratory Test | Result |
| Sodium | 124 mEq/L |
| Chloride | 96 mEq/L |
| Potassium | 5.5 mEq/L |
| Bicarbonate | 14 mEq/L |
| Glucose | 500 mg/dL |
| Beta-hydroxybutyrate | 5 mmol/L (normal < 0.5 mmol/L) |
Elimination tool
0 XP
Press space to continue