Electrolyte Imbalance in Renal Disease · NCLEX Exam

Why might a patient with CKD develop metabolic acidosis along with electrolyte imbalances?

  1. The kidneys begin to over-excrete hydrogen ions into urine
  2. Impaired renal acid excretion and bicarbonate regeneration
  3. Excessive reabsorption of bicarbonate by the renal tubules
  4. Increased secretion of metabolic acid by the lungs
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Correct answer: Impaired renal acid excretion and bicarbonate regeneration

Kidneys failing to excrete hydrogen ions and regenerate bicarbonate leads to metabolic acidosis, which in turn affects electrolyte shifts (e.g., increasing potassium).

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