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 A
Explanation
A. Correct. Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, are known to cause kidney damage and are a common cause of intrinsic acute renal failure, especially when used in high doses or for extended periods.
B. Incorrect. Loop diuretics, such as furosemide, are not typically associated with intrinsic acute renal failure.
C. Incorrect. Metformin is not a common cause of intrinsic acute renal failure. However, it is contraindicated in individuals with severe kidney impairment.
D. Incorrect. While ciprofloxacin and other antibiotics may have renal-related side effects, they are not a common cause of intrinsic acute renal failure.
Correct Answer is B
Explanation
A. Incorrect. Withholding food and drink for 24 hours is not necessary for a CT scan with contrast dye.
B. Correct. Before a CT scan with contrast dye, it is essential to assess the client for allergies, especially to iodine and shellfish. Contrast dyes used in CT scans contain iodine, and clients with allergies to iodine or shellfish may have an allergic reaction to the contrast dye.
C. Incorrect. While administering intravenous fluids may be beneficial in certain situations, it is not a specific precaution for a CT scan with contrast dye.
D. Incorrect. Removing jewelry and metallic objects is a standard precaution for all imaging procedures, but it is not specific to a CT scan with contrast dye.
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