What role does carbonic acid play in the body's pH balance during breathing changes?
Carbonic acid remains constant regardless of breathing
Carbonic acid increases with hypoventilation, lowering pH
Carbonic acid decreases with hypoventilation, lowering pH
Hyperventilation increases carbonic acid, raising pH
The Correct Answer is B
A. Carbonic acid remains constant regardless of breathing: Respiratory rate directly dictates the partial pressure of carbon dioxide, which exists in a dynamic equilibrium with carbonic acid. Alterations in minute ventilation immediately shift the concentration of this weak acid. It is the most volatile component of the buffer system.
B. Carbonic acid increases with hypoventilation, lowering pH: Reduced alveolar ventilation causes the retention of carbon dioxide, driving the hydration reaction to produce more carbonic acid. This acid subsequently dissociates into bicarbonate and hydrogen ions. The resulting elevation in free protons leads to a state of respiratory acidosis.
C. Carbonic acid decreases with hypoventilation, lowering pH: Hypoventilation results in an accumulation of acid, not a decrease. A decrease in carbonic acid would occur during hyperventilation as carbon dioxide is "blown off" via the lungs. Lowering pH is functionally associated with an increase in acidic components.
D. Hyperventilation increases carbonic acid, raising pH: Increased respiratory effort removes carbon dioxide from the blood, which shifts the equilibrium to consume carbonic acid. This process reduces the concentration of hydrogen ions and raises the pH. This physiological state is characterized as respiratory alkalosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
False: Arterial blood gases (ABGs) provide definitive data on pH, PCO2, and bicarbonate levels, while serum electrolytes help calculate the anion gap. Together, these tests allow clinicians to differentiate between respiratory and metabolic origins of a disorder. They are the cornerstone of clinical acid-base assessment.
Correct Answer is B
Explanation
A. Protein concentration increases in the blood plasma: Hydrostatic pressure drives the filtration of water and small solutes, leaving large plasma proteins behind. While the relative concentration of proteins may rise slightly as fluid leaves, this is a result of the filtration process. The primary effect is volume movement.
B. Fluid and nutrients are filtered out into surrounding tissues: High hydrostatic pressure at the arterial end of a capillary overcomes the inward pull of oncotic pressure. This net filtration pressure forces water and dissolved nutrients into the interstitial space. This process is essential for delivering oxygen and glucose to cells.
C. Fluid is reabsorbed into the capillaries: Reabsorption occurs when the colloid osmotic pressure, exerted by plasma proteins, is greater than the capillary hydrostatic pressure. This typically happens at the venous end of the capillary bed. It allows metabolic wastes to enter the bloodstream for excretion.
D. Fluid movement halts between compartments: Fluid movement only halts when hydrostatic and osmotic pressures reach an equilibrium point where net filtration is zero. In a functioning circulatory system, these pressures are dynamic to ensure continuous exchange. Constant movement is required for systemic nutrient delivery.
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