The nurse is caring for the client diagnosed with chronic kidney disease (CKD) who is experiencing metabolic acidosis. Which statement best describes the scientific rationale for metabolic acidosis in this client?

C The kidney cannot excrete increased levels of acid because they cannot excrete ammonia or cannot reabsorb sodium bicarbonate. A There is an increased excretion of phosphates and organic acids, which leads to an increase in arterial blood pH. B A shortened life span of red blood cells because of damage secondary to dialysis treatments in turn leads to metabolic acidosis. D An increase in nausea and vomiting causes a loss of hydrochloric acid and the respiratory system cannot compensate adequately.