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3: EAQ Fluid & Electrolytes Questions and Correct Answers/ Latest Update / Already Graded

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The nurse is teaching a team of student nurses about acid-base balance. Which statements by the nurse are appropriate? (Select all that apply). a. "The kidneys excrete all acids produced in the patient's body." b. "Patients with obstructive lung diseases may have more acid in the blood." c. "Patients experience deeper respirations when the carbon dioxide level in the blood rises." 2 | Page d. "Patients experience shallow respirations when the carbon dioxide level in the blood rises." e. "Patients with kidney disease have difficulty excreting metabolic acids." 3 | Page Ans: b. "Patients with obstructive lung diseases may have more acid in the blood." c. "Patients experience deeper respirations when the carbon dioxide level in the blood rises." Rationale: Patients with obstructive lung diseases may have more acid in their blood. This can be due to a difficulty in normal excretion of carbonic acid. When the level of carbon dioxide in the blood rises, the chemoreceptors are triggered quickly. The patient hyperventilates in order to excrete the excess carbonic acid. The excretion of metabolic acids occurs in the renal tubules of the kidneys. This is one of the major contributing factors for difficulty in normally excreting metabolic acids. The kidneys excrete all acids except carbonic acid. When the carb

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3: EAQ Fluid & Electrolytes Questions
and Correct Answers/ Latest Update /
Already Graded
The nurse is teaching a team of student nurses about acid-base

balance. Which statements by the nurse are appropriate? (Select all

that apply).




a. "The kidneys excrete all acids produced in the patient's body."




b. "Patients with obstructive lung diseases may have more acid in the

blood."




c. "Patients experience deeper respirations when the carbon dioxide

level in the blood rises."

,2 | Page

d. "Patients experience shallow respirations when the carbon dioxide

level in the blood rises."




e. "Patients with kidney disease have difficulty excreting metabolic

acids."

,3 | Page

Ans: b. "Patients with obstructive lung diseases may have more acid in

the blood."




c. "Patients experience deeper respirations when the carbon dioxide level

in the blood rises."




Rationale: Patients with obstructive lung diseases may have more acid in

their blood. This can be due to a difficulty in normal excretion of carbonic

acid. When the level of carbon dioxide in the blood rises, the

chemoreceptors are triggered quickly. The patient hyperventilates in

order to excrete the excess carbonic acid. The excretion of metabolic

acids occurs in the renal tubules of the kidneys. This is one of the major

contributing factors for difficulty in normally excreting metabolic acids.

The kidneys excrete all acids except carbonic acid. When the carbon

dioxide level in the blood rises, the chemoreceptors trigger

hyperventilation to facilitate excretion of excess carbonic acid. The

patient also experiences shallow respirations in response to decreased

levels of carbon dioxide in the blood to enable the cells to produce more

carbon dioxide and make up for the deficit.

, 4 | Page




Which electrolyte abnormality is least likely to be caused by the use

of laxatives?




a. Hyponatremia




b. Hypokalemia




c. Hypocalcemia




d. Hypomagnesemia

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