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. Constipation and abdominal pain are not typical manifestations of the fluid and electrolyte imbalance seen in acute renal failure.
B. Correct. Acute renal failure can lead to imbalances in electrolytes, particularly potassium and sodium. Muscle weakness and fatigue are common manifestations of these electrolyte imbalances.
C. Incorrect. Decreased heart rate and blood pressure are more commonly associated with fluid volume depletion in prerenal acute renal failure, rather than electrolyte imbalances.
D. Incorrect. Increased respiratory rate and depth are not typically associated with acute renal failure or its fluid and electrolyte imbalances.
Correct Answer is D
Explanation
A. Incorrect. Loop diuretics are used to increase urine output, not decrease it. They help reduce fluid overload and prevent dehydration.
B. Incorrect. Loop diuretics typically lead to a decrease in blood pressure, not an increase. They are often prescribed to address hypertension in acute renal failure.
C. Incorrect. Loop diuretics promote the excretion of sodium and water from the kidneys, not their reabsorption.
D. Correct. Loop diuretics are prescribed in acute renal failure to increase urine output and promote fluid excretion. This helps reduce fluid overload and decrease edema.
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