A client with acute renal failure is experiencing metabolic acidosis. Which intervention should the nurse anticipate to help correct the acid-base imbalance?
Administering bicarbonate intravenously to raise pH levels.
Encouraging the client to consume more acidic foods.
Increasing fluid intake to dilute acid concentrations.
Promoting shallow breathing to retain carbon dioxide.
The Correct Answer is A
A. Correct. In acute renal failure, when the kidneys are unable to excrete acids properly, metabolic acidosis can occur. Administering bicarbonate intravenously helps raise the pH levels and correct the acid-base imbalance.
B. Incorrect. Encouraging the client to consume more acidic foods would worsen metabolic acidosis and is not a suitable intervention.
C. Incorrect. Increasing fluid intake is not a specific intervention for correcting metabolic acidosis. The focus should be on addressing the underlying acid-base imbalance.
D. Incorrect. Promoting shallow breathing to retain carbon dioxide is not a recommended intervention for correcting metabolic acidosis. Respiratory acidosis and metabolic acidosis are different types of acid-base imbalances with distinct causes and treatments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Bradypnea (slow respiratory ratE. is not typically associated with acute renal failure.
B. Correct. Kussmaul respirations are rapid and deep respirations seen in metabolic acidosis, a common complication of acute renal failure. The body tries to compensate for the acidosis by increasing the elimination of carbon dioxide through rapid and deep breathing.
C. Incorrect. Dyspnea and crackles in the lungs are not directly related to acute renal failure.
D. Incorrect. Increased respiratory rate and shallow breathing are not typical respiratory manifestations of acute renal failure.
QUESTIONS
Correct Answer is B
Explanation
A. Incorrect. Increased heart rate and blood pressure are more commonly associated with metabolic alkalosis, not metabolic acidosis.
B. Correct. Muscle twitching and irritability are common clinical manifestations of metabolic acidosis. Acidosis can lead to an increase in excitability of nerve cells, causing muscle twitching and irritability.
C. Incorrect. Excessive thirst and frequent urination are not typically associated with metabolic acidosis.
D. Incorrect. Warm, flushed skin and headache are not directly related to metabolic acidosis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.