A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

Iron deficiency

Impaired erythropoietin production

Hemolysis of red blood cells

Vitamin B12 deficiency

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because iron deficiency is one of the causes of anemia, but in chronic kidney disease, impaired erythropoietin production is the primary reason.

B) This choice is correct. Anemia in chronic kidney disease is primarily caused by decreased production of erythropoietin, a hormone produced by the kidneys that stimulates red blood cell production in the bone marrow.

C) This choice is incorrect because hemolysis of red blood cells is not the main cause of anemia in chronic kidney disease.

D) This choice is incorrect because vitamin B12 deficiency is not typically associated with anemia in chronic kidney disease.

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Correct Answer is ["A","D"]

Explanation

A) This choice is correct. A vegetarian diet, especially if not well-balanced and lacking in iron-rich foods, can lead to iron-deficiency anemia.

B) This choice is incorrect. Chronic kidney disease is more likely to cause anemia due to impaired erythropoietin production rather than directly causing iron deficiency.

C) This choice is incorrect. Excessive red blood cell destruction is associated with hemolytic anemia, not iron-deficiency anemia.

D) This choice is correct. Gastrointestinal bleeding, such as from peptic ulcers or inflammatory bowel disease, can lead to chronic blood loss and iron-deficiency anemia.

A. Increased blood pressure B. Pale skin and mucous membranes C. Severe joint pain D. High energy levels

Correct Answer is C

Explanation

A) This choice is incorrect because increased blood pressure is not typically observed during a vaso-occlusive crisis in sickle cell anemia.

B) This choice is incorrect because pale skin and mucous membranes are more likely to be seen in clients with anemia due to decreased red blood cell count, but it is not specific to a vaso-occlusive crisis.

C) This choice is correct. A vaso-occlusive crisis in sickle cell anemia is characterized by the blockage of small blood vessels, leading to severe pain, particularly in the joints and bones.

D) This choice is incorrect because clients experiencing a vaso-occlusive crisis are more likely to feel fatigued and weak due to the lack of oxygen delivery, rather than having high energy levels.

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A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client diagnosed with iron-deficiency anemia. Which of the following factors could contribute to the development of this condition? Select all that apply.

Correct Answer is ["A","D"]

Explanation

A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

Correct Answer is C

Explanation

A client with anemia is prescribed oral iron supplements. The nurse advises the client to take the supplements with which beverage to enhance iron absorption?

A client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?

A nurse is caring for a client with anemia, and the client has a history of chronic inflammatory diseases such as rheumatoid arthritis. Which of the following types of anemia is most likely to be associated with chronic inflammatory conditions?

A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

A client presents with signs of hemolysis, including jaundice and an elevated bilirubin level. Which type of anemia is most likely to be associated with these findings?

A nurse is teaching a client with iron-deficiency anemia about dietary sources of iron. Which food items should the nurse recommend? Select all that apply.

A client with a history of gastric bypass surgery presents with signs of anemia. The nurse should suspect which type of anemia?

A nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?