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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Pin site care is essential for a client with skeletal traction to prevent infection and ensure proper healing.
Choice B reason: A five-pound weight lifting restriction is not related to the care of a client with skeletal traction.
Choice C reason: Prone positioning is not typically recommended for clients with skeletal traction as it may interfere with the traction setup.
Choice D reason: Intermitent weights are not a standard intervention for skeletal traction, which requires consistent and controlled application of force.
Correct Answer is D
Explanation
Choice A reason: Cleaning with an alcohol-based solution is not recommended as it can be irritating and does not prevent infection.
Choice B reason: Routine irrigation of the catheter is not recommended as it can introduce infection.
Choice C reason: Replacing the catheter routinely every three days is not recommended and can increase the risk of infection.
Choice D reason: Ensuring the catheter tubing is free of kinks, twisting, and dependent loops is important to maintain urine flow and prevent infection.
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