The nurse is caring for a client with respiratory acidosis. Which compensatory mechanism does the nurse understand will act to normalize the client's acid-base balance?

A) Kidneys excrete bicarbonate.
B) Hypoventilation retains carbon dioxide.
C) Hyperventilation releases carbon dioxide.
D) Kidneys reabsorb bicarbonate.


D) Kidneys reabsorb bicarbonate.

Explanation: A) Respiratory acidosis occurs with an increase in H+ concentration (increased PaCO2 levels). The compensatory mechanism for respiratory acidosis is regulated by the kidneys. The kidneys will reabsorb bicarbonate in order to increase the pH (make it more alkaline). The other answer choices do not represent how the body will compensate for respiratory acidosis.
B) Respiratory acidosis occurs with an increase in H+ concentration (increased PaCO2 levels). The compensatory mechanism for respiratory acidosis is regulated by the kidneys. The kidneys will reabsorb bicarbonate in order to increase the pH (make it more alkaline). The other answer choices do not represent how the body will compensate for respiratory acidosis.
C) Respiratory acidosis occurs with an increase in H+ concentration (increased PaCO2 levels). The compensatory mechanism for respiratory acidosis is regulated by the kidneys. The kidneys will reabsorb bicarbonate in order to increase the pH (make it more alkaline). The other answer choices do not represent how the body will compensate for respiratory acidosis.
D) Respiratory acidosis occurs with an increase in H+ concentration (increased PaCO2 levels). The compensatory mechanism for respiratory acidosis is regulated by the kidneys. The kidneys will reabsorb bicarbonate in order to increase the pH (make it more alkaline). The other answer choices do not represent how the body will compensate for respiratory acidosis.

Nursing

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