A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. 

A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. 

This client is most likely experiencing:
A . Hyperkalemia
B . Hyponatremia
C . Metabolic acidosis
D . Metabolic alkalosis

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Answer: D

Explanation:

(A) Sodium level is within normal limits.

(B) Sodium level is within normal limits.

(C) pH level is consistent with alkalosis.

(D) With an NG tube attached to low, intermittent suction, acids are removed and a client will develop metabolic alkalosis.