When assessing a patient with metabolic acidosis, which concept should the nurse keep in mind?
A) The kidney response is to retain HCO3-.
B) The kidney response is to excrete HCO3- or conserve H+.
C) The kidney response is to decrease acid excretion in the urine and decrease HCO3- production.
A) The kidney response is to retain HCO3-.
Explanation: A) In metabolic acidosis the response of the kidneys is to retain HCO3-.
B) In metabolic alkalosis the response of the kidneys is to excrete HCO3- or conserve H+.
C) In respiratory alkalosis the response of the kidneys is to decrease acid excretion in the urine and decrease HCO3- production.
D) In respiratory acidosis the response of the lungs is to increase CO2.
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