The nurse realizes that a client diagnosed with kidney disease is ...

[Themember4]

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

Question 2

A client who is 12 hours postoperative after a transurethral resection of the prostate (TURP) is concerned about the blood clots in the catheter and urinary collection bag. How should the nurse respond?
 
  1. I need to call your physician.
  2. I will need to stop the bladder irrigation.
  3. Blood clots are common during this time frame and will start to decrease in a day.
  4. You need to stop moving and irritating the catheter.

[cam1229]

Answer to Question 1

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.

Answer to Question 2

3
Blood clots are common during the first 36 hours following a TURP. The irrigant should not be stopped because it is flushing the clots out of the urinary system. A large amount of bright red blood would be an indication of hemorrhage. The nurse does not need to call the physician.