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1. The nurse understands that metabolic acidosis
develops in End Stage Renal Disease (ESRD) as a
result of
impaired glomerular filtration causing retention of
nitrogenous waste products.
inability of renal tubules to reabsorb water to dilute
the
acid contents of blood.
inability of renal tubules to secrete hydrogen ions
and
conserve bicarbonate.
depression of respiratory rate by metabolic wastes
causing carbon dioxide retention.
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