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?

Blood pressure monitoring

Serum potassium levels

Dietary sodium intake

Iron levels and supplementation

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because while blood pressure monitoring is essential for clients with chronic kidney disease, it is not specifically related to ESA therapy.

B) This choice is incorrect because serum potassium levels are important in chronic kidney disease, but they are not directly related to ESA therapy.

C) This choice is incorrect because dietary sodium intake is important in managing fluid balance in chronic kidney disease, but it is not directly related to ESA therapy.

D) This choice is correct. ESA therapy stimulates the production of red blood cells, and adequate iron levels are necessary for this process. Clients with chronic kidney disease often have decreased iron levels due to various factors, and iron supplementation is crucial for the success of ESA therapy.

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Correct Answer is A

Explanation

A) This choice is correct. Serum ferritin levels are used to assess the body's iron stores. Ferritin is a protein that stores iron in the body, and low levels of serum ferritin indicate iron deficiency.

B) This choice is incorrect because the erythrocyte sedimentation rate (ESR) is a nonspecific indicator of inflammation and is not directly related to iron stores.

C) This choice is incorrect because total iron-binding capacity (TIBC) measures the amount of iron that can be bound to transferrin, a protein that transports iron in the blood, but it does not directly assess iron stores.

D) This choice is incorrect because the white blood cell count (WBC) is not directly related to iron stores or the evaluation of anemia.

A. Electrocardiogram (ECG) B. Complete blood count (CBC) C. Serum creatinine D. Urinalysis

Correct Answer is B

Explanation

A) This choice is incorrect because an electrocardiogram (ECG) is not a diagnostic test for anemia. It is used to assess heart function.

B) This choice is correct. A complete blood count (CBC) is the primary diagnostic test used to confirm the presence of anemia. It provides information about red blood cell count, hemoglobin levels, hematocrit, and other parameters related to blood cell characteristics.

C) This choice is incorrect because serum creatinine is used to assess kidney function, not to diagnose anemia.

D) This choice is incorrect because a urinalysis is not a diagnostic test for anemia. It is used to assess kidney function and urinary tract health.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

Correct Answer is A

Explanation

A nurse is assessing a client with suspected anemia. Which laboratory test is commonly used to confirm the diagnosis of anemia?

Correct Answer is B

Explanation

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