A 30-year-old woman comes to the emergency department with nausea, confusion, dehydration, and oliguria. Her mother reports that she has been depressed after losing her job as a bank executive. An empty bottle of aspirin was found in her bathroom sink. Her laboratory values are as follows: pH, 7.35; PaCO2 , 16 mm Hg; PaO2 , 98 mm Hg; and HCO3 −, 15 mEq/L. What acid–base disorder does this patient have? What treatments and relevant nursing actions related to the underlying disorder and its treatment should the nurse anticipate?
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