A nurse is caring for a client with acute renal failure who is experiencing metabolic acidosis. What intervention should the nurse implement to help correct the acid-base imbalance?
Encourage the client to consume a low-carbohydrate diet.
Administer sodium bicarbonate intravenously as prescribed.
Restrict fluid intake to prevent further acid buildup.
Encourage deep breathing exercises to blow off carbon dioxide.
The Correct Answer is B
A. Incorrect. Encouraging a low-carbohydrate diet is not the appropriate intervention for correcting metabolic acidosis.
B. Correct. Sodium bicarbonate is an alkalizing agent that can help correct metabolic acidosis by increasing the body's bicarbonate levels, which buffers excess acids.
C. Incorrect. Fluid restriction would not directly correct metabolic acidosis and may be detrimental to the client's overall fluid balance.
D. Incorrect. Deep breathing exercises are not specific interventions for correcting metabolic acidosis.
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Related Questions
Correct Answer is B
Explanation
A. Incorrect. Encouraging a low-carbohydrate diet is not the appropriate intervention for correcting metabolic acidosis.
B. Correct. Sodium bicarbonate is an alkalizing agent that can help correct metabolic acidosis by increasing the body's bicarbonate levels, which buffers excess acids.
C. Incorrect. Fluid restriction would not directly correct metabolic acidosis and may be detrimental to the client's overall fluid balance.
D. Incorrect. Deep breathing exercises are not specific interventions for correcting metabolic acidosis.
Correct Answer is A
Explanation
A. Correct. Dehydration is a significant risk factor for prerenal acute renal failure. Insufficient fluid intake or excessive fluid loss (e.g., vomiting, diarrheA. can lead to decreased blood volume and decreased blood flow to the kidneys, impairing kidney function.
B. Incorrect. A UTI can cause kidney injury but is not specifically associated with prerenal acute renal failure.
C. Incorrect. Chronic kidney disease (CKD. is a risk factor for the development of intrinsic acute renal failure, but it is not directly related to prerenal causes.
D. Incorrect. Diabetes mellitus is a risk factor for chronic kidney disease, but it is not a specific risk factor for prerenal acute renal failure.
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