The nurse is caring for a client with essential hypertension. The nurse reviews lab work and assesses kidney function. Which action of the kidney would the nurse evaluate as the body's attempt to regulate high blood pressure?

A) The kidney retains sodium and water.
B) The kidney excretes sodium and water.
C) The kidney retains sodium and excretes water.
D) The kidney retains water and excretes sodium.


B
Feedback:
Hypernatremia (elevated serum sodium level) increases blood volume, which raises blood pressure. The kidney's response to the elevation in blood pressure is to excrete sodium and excess water. Any retention of sodium and water would increase blood volume and, thus, blood pressure. Sodium and water move together.

Nursing

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