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 C
Explanation
A. Incorrect. Muscle cramps in acute renal failure are often related to electrolyte imbalances, including high potassium levels. Encouraging the consumption of potassium-rich foods would exacerbate the issue.
B. Incorrect. Muscle relaxants may not be appropriate for all clients, and the underlying cause of the muscle cramps should be addressed first.
C. Correct. Applying warm compresses to the affected muscles can help relax muscle tension and provide relief from muscle cramps.
D. Incorrect. Gentle stretching exercises may not be appropriate for a client experiencing muscle cramps, as stretching could exacerbate the discomfort.
Correct Answer is B
Explanation
A. Incorrect. A complete blood count (CBC. provides information about the number and types of blood cells but does not assess kidney function.
B. Correct. Serum creatinine level is a commonly used blood test to assess kidney function. Elevated levels of creatinine in the blood indicate impaired glomerular filtration and decreased kidney function.
C. Incorrect. Urinalysis provides information about the presence of substances such as protein, blood, and glucose in the urine but does not directly assess GFR.
D. Incorrect. Renal ultrasound is an imaging test that provides information about the structure of the kidneys but does not directly measure GFR.
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