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.
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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 A
Explanation
A. Correct. Hypertension, or high blood pressure, is a significant risk factor for the development of acute renal failure. Chronic hypertension can lead to kidney damage and impaired kidney function over time.
B. Incorrect. Seasonal allergies, osteoarthritis, and anemia are not direct risk factors for acute renal failure.
C. Incorrect. Osteoarthritis is not directly related to acute renal failure.
D. Incorrect. While anemia can be associated with chronic kidney disease, it is not a specific risk factor for acute renal failure.
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