The patient is admitted with vomiting and diarrhea. To plan the care for this patient, the nurse must know that metabolic compensation occurs when the kidneys reclaim or restore:
1. Bicarbonate.
2. Ketones.
3. Hydrogen.
4. Water.
Bicarbonate.
Rationale: The kidneys regulate and restore or reclaim sodium bicarbonate ions (NaCO3) to regulate plasma pH. The kidneys regulate plasma pH changes by secreting hydrogen ions. Ketones are secreted by the kidneys, and this is an indication that fats are being metabolized for energy rather than carbohydrates, but this is not the main mechanism of plasma pH regulation. The kidneys would conserve water due to dehydration rather than regulation of pH.
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Indicate whether the statement is true or false
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a. To determine what type of therapies are acceptable to the client b. To identify whether the client has a nutrition deficiency c. To help you to understand cultural and spiritual beliefs d. To identify potential interaction with prescribed medication and therapies
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