The nurse is caring for a client with metabolic alkalosis. The health care provider prescribes acetazolamide for the treatment of the client's condition. What is the nurse's understanding of the purpose of this treatment?
A) It increases renal resorption of bicarbonate.
B) It decreases carbonic acid levels in the blood.
C) It decreases urinary output and hydrogen loss.
D) It increases renal excretion of bicarbonate.
D) It increases renal excretion of bicarbonate.
Explanation: A) Acetazolamide (Diamox) is used to treat metabolic alkalosis and works by increasing renal secretion of bicarbonate when added volume from infusion of a saline solution is contraindicated. Acetazolamide does not increase renal resorption of bicarbonate. Acetazolamide does not decrease urinary output or decrease carbonic acid levels in the blood.
B) Acetazolamide (Diamox) is used to treat metabolic alkalosis and works by increasing renal secretion of bicarbonate when added volume from infusion of a saline solution is contraindicated. Acetazolamide does not increase renal resorption of bicarbonate. Acetazolamide does not decrease urinary output or decrease carbonic acid levels in the blood.
C) Acetazolamide (Diamox) is used to treat metabolic alkalosis and works by increasing renal secretion of bicarbonate when added volume from infusion of a saline solution is contraindicated. Acetazolamide does not increase renal resorption of bicarbonate. Acetazolamide does not decrease urinary output or decrease carbonic acid levels in the blood.
D) Acetazolamide (Diamox) is used to treat metabolic alkalosis and works by increasing renal secretion of bicarbonate when added volume from infusion of a saline solution is contraindicated. Acetazolamide does not increase renal resorption of bicarbonate. Acetazolamide does not decrease urinary output or decrease carbonic acid levels in the blood.
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