The nurse expects to find renal compensation for an acid-base imbalance in which situation?
a. Mild to moderate dehydration in a middle-aged client who jogged for 2 hours
b. Acute asthma attack with wheezing of 6 hours' duration in an older man
c. Food poisoning with vomiting for 12 hours in a middle-aged woman
d. Hypoxemia for 4 days from pneumonia in an adult woman
D
Renal compensation (change in excretion or reabsorption of hydrogen ions and bicarbonate ions) for an acid-base imbalance is very potent and requires from many hours up to several days to begin. It does not provide immediate compensation, nor does it respond to acute imbalances. For a person who has been hypoxemic for several days, renal compensation with increased excretion of hydrogen ions and increased reabsorption of bicarbonate would have been initiated.
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A) How to milk the chest tubing B) How to splint the incision when coughing C) How to take prophylactic antibiotics correctly D) How to manage the need for fluid restriction
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