The nurse realizes that a client diagnosed with kidney disease is at risk for acid-base imbalances. Which of the following explains how the kidney contributes to acid-base balance? (Select all that apply.)
1. Secretes hydrogen ions
2. Reabsorbs bicarbonate
3. Generates new bicarbonate
4. Produces erythropoietin
5. Converts vitamin D
6. Excretes waste products from protein metabolism
1, 2, 3
The kidneys contribute to acid-base balance by secreting hydrogen ions, reabsorbing bicarbonate, or generating new bicarbonate. The production of erythropoietin aids in the making of red blood cells. The conversion of vitamin D supports calcium metabolism. The excretion of waste products from protein metabolism does not contribute to acid-base balance.
You might also like to view...
A patient tells the nurse that he has had deep, burning muscle pain for most of his adult life. What does this information tell the nurse about how the patient's pain is being transmitted in the body?
1. C fibers 2. A-delta fibers 3. endorphins 4. dynorphins
The client who was exposed to inhalation anthrax has completed 10 days of drug therapy consisting of ciprofloxacin (Cipro), 500 mg PO twice daily. He says that since he has no ma-nifestations, he would like to stop taking the drug now
What is the nurse's best response? A. "If you have no manifestations, you may stop the drug now." B. "You will need to take this drug for at least one month to be sure you don't spread the disease to others." C. "You need to take this drug for at least 60 days because the organism is first en-capsulated, and it may take up to 8 weeks for manifestations to appear." D. "You will need to be on prophylactic antibiotic therapy for the rest of your life to keep the organism from breaking free from its capsule and multiplying."
The mother of a newly hospitalized pediatric patient asks the nurse about the advantages of "rooming in." The nurse could indicate which items are confirmed by research as benefits when a parent "rooms in." (Select all that apply.)
1. Sleeping more soundly 2. Requiring shortened recoveryperiods 3. Having less anxiety duringprocedures 4. Requiring less analgesic for painrelief after surgery
The nurse is preparing the hospital room for admission of a child with multiple allergies including cow's milk, peanuts, and latex. The nurse's priority responsibility in preparing for this child would include:
1. Evaluating the hospital room for equipment containing latex. 2. Ordering an EpiPen for the child. 3. Notifying dietary of the milk and peanut allergy. 4. Placing a sign on the door which identifies all allergies.