A client who has chronic renal failure and has been on dialysis for 2 years has been wondering why he is anemic. The nurse explains that anemia accompanies chronic renal failure because of:

Inadequate retention of serum sodium (Na).

Inadequate production of erythropoietin.

Blood loss in the urine.

Renal desensitization to Vitamin D.

Answer and Explanation

The Correct Answer is B

Choice A reason: Inadequate retention of serum sodium is not typically associated with anemia in chronic renal failure.

Choice B reason: Inadequate production of erythropoietin is the correct answer because the kidneys produce erythropoietin, which stimulates the bone marrow to produce red blood cells. In chronic renal failure, the kidneys cannot produce enough erythropoietin, leading to anemia.

Choice C reason: While blood loss in the urine can occur, it is not the primary cause of anemia in chronic renal failure.

Choice D reason: Renal desensitization to Vitamin D aﬀects bone health and calcium levels but is not the primary cause of anemia in chronic renal failure.

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Correct Answer is B

Explanation

Choice A reason: Showing the patient that her leg is gone does not address the immediate concern of pain management.

Choice B reason: Administering the prescribed pain medication is the first step in managing phantom pain, which is a common experience for amputees.

Choice C reason: While it is important to validate the patient's experience of pain, the first action should be to address the pain medically.

Choice D reason: Telling the patient that it is not possible to feel pain in her toes is incorrect and dismissive of the phenomenon of phantom pain.

A. Droplet precautions B. Contact precautions C. Standard precautions are only necessary as there is no risk of transmission. D. Airborne precautions

Correct Answer is B

Explanation

Choice A reason (precautions): Droplet precautions are not the primary recommendation for Hepatitis A, as it is not primarily spread through droplets.
Choice B reason (precautions): Contact precautions are recommended for patients with Hepatitis A due to the risk of fecal-oral transmission, especially in a patient with incontinence.
Choice C reason (precautions): While standard precautions are always necessary, they are not sufficient alone for Hepatitis A, which requires additional precautions due to its mode of transmission.
Choice D reason (precautions): Airborne precautions are not required for Hepatitis A, as it is not spread through the air.

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A client who has chronic renal failure and has been on dialysis for 2 years has been wondering why he is anemic. The nurse explains that anemia accompanies chronic renal failure because of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client in the PACU with a left below-the-knee amputation complains of pain in her left big toe. Which of the following would the nurse do first?

Correct Answer is B

Explanation

You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?

Correct Answer is B

Explanation

A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been eﬀective?

In planning care for a patient with acute myocardial infarction (AMI), which of the following should the nurse identify as the highest priority goal of care?

A client with acute pancreatitis comes in with severe abdominal pain. The doctor orders NPO and an NG-tube. The nurse knows that NPO status and nasogastric tube patency will help treat pancreatitis by: (Select all that apply)

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A nurse is developing a plan of care for an 80-year-old client who is postoperative. This client has a 38 pack-year smoking history. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

A nurse is caring for a client who has multiple sclerosis. Which of the following factors should the nurse anticipate have been identified as contributing to the development of multiple sclerosis? (Select all that apply.)

Which of the following is the most common risk factor for emphysema?

In planning care for the patient with acute myocardial infarction (AMI), the nurse identifies the highest priority goal of care as which of the following?