A client has a decreased secretion of erythropoietin from the kidneys due to end-stage kidney disease. What outcome will the decrease in erythropoietin have?
Increase in blood sugar levels due to alteration in insulin levels.
Anemia from the decrease in the maturation of red blood cells.
Decrease in blood sugar levels due to alteration in insulin levels.
Development of male sex characteristics.
The Correct Answer is B
Anemia from the decrease in the maturation of red blood cells. Erythropoietin, a hormone secreted by the kidneys, stimulates the production of red blood cells in the bone marrow. A decrease in erythropoietin secretion from the kidneys will result in a decrease in the maturation of red blood cells, leading to anemia.
Choice A, an increase in blood sugar levels due to alteration in insulin levels, and Choice C, Decrease in blood sugar levels due to alteration in insulin levels are not associated with decreased secretion of erythropoietin.
Choice D, Development of male sex characteristics is not related to the function of erythropoietin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Reduced tensile strength. A history of dislocations of the same joint may be due to an insufficient deposit of collagen during the healing process. Collagen is a protein that provides tensile strength to connective tissues such as tendons and ligaments. Reduced tensile strength may result in instability and dislocation of joints.
Option B: Loss of function is not a correct answer as it is a general term and can occur due to various reasons such as damage to muscles or nerves.
Option C: Lack of mobility is not a correct answer as it is similar to loss of function and does not explain the history of dislocations.
Option D: Allergic reaction is not a correct answer as it is not related to dislocations of joints.
Correct Answer is A
Explanation
Palpate gently without repeated attempts. Palpating the thyroid gland can stimulate the release of thyroid hormone, which can result in a thyroid storm, a potentially life-threatening condition characterized by a rapid heart rate, fever, and high blood pressure. Therefore, the nurse should be careful not to overstimulate the thyroid gland.
Not palpating the thyroid and just listening for a bruit (B) is not a sufficient assessment of the thyroid gland. Palpating the gland firmly in order to feel it for enlargement (C) can be too stimulating and increase the risk of thyroid hormone release. Continuing to palpate the gland until it is felt for enlargement (D) is not necessary and may result in overstimulation of the gland.
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