Which does the nurse include in client teaching about acid-base balance?
1. Carbonic acid forms from the byproducts of metabolic activity.
2. The respiratory system efficiently regulates acid-base balance.
3. Metabolic acidosis results from excess blood flow to the kidneys.
4. Taking odium bicarbonate decreases hydrogen ions in the blood.
1
1. Carbonic acid forms from carbon dioxide and water, the byproducts of metabolism (along with heat).
2. The kidney is the most efficient and powerful regulator of acid-base balance, using multiple mechanisms to regulate hydrogen ion concentration [H+].
3. Metabolic acidosis results from renal conservation of H+ or lactic acid accumula-tion.
4. Excessive sodium bicarbonate intake decreases the [H+] to increase the pH.
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