A client with chronic kidney disease has chronic anemia. What pharmacologic alternative to blood transfusion may be used for this patient?

A. Development of a buffalo hump and moon face:
This is associated with Cushing's syndrome, a disorder characterized by prolonged exposure to high levels of cortisol.

B. Central obesity and purple striations:
Also indicative of Cushing's syndrome, where excess cortisol can lead to the accumulation of fat in the abdominal area (central obesity) and the development of purple stretch marks (striae).

C. Sudden weight loss without dieting:
This is more characteristic of hyperthyroidism, where the thyroid gland is overactive, leading to increased metabolism and unintended weight loss.

D. Positive Trousseau's sign when checking the client's blood pressure:
Trousseau's sign is associated with hypocalcemia and is seen in conditions affecting the parathyroid gland rather than the thyroid. It involves carpal spasm induced by inflating a blood pressure cuff above the systolic pressure for a few minutes.

A. Management of diabetic ketoacidosis:
Diabetic ketoacidosis (DKA) is a severe complication of diabetes characterized by high blood sugar, ketones in the urine, and metabolic acidosis. While it's crucial to understand how to manage DKA, this may be considered more advanced knowledge and may not be categorized as a basic survival skill for someone newly diagnosed with type 1 diabetes.

B. Signs and symptoms of diabetic neuropathy:
Diabetic neuropathy is a long-term complication that involves damage to the nerves due to prolonged high blood sugar levels. While understanding neuropathy is important for long-term health, it may not be the first topic addressed as a basic survival skill for someone newly diagnosed.

C. Effects of surgery and pregnancy on blood sugar levels:
Understanding how surgery and pregnancy can affect blood sugar levels is important for managing diabetes in specific situations. However, this knowledge might be considered more advanced and may not be the initial focus for someone just starting to learn about diabetes self-care.

D. Recognition of hypoglycemia and hyperglycemia:
Recognizing the signs and symptoms of both low and high blood sugar is essential for immediate self-care. This includes understanding when blood sugar is too low (hypoglycemia) and requires prompt treatment, as well as recognizing the symptoms of high blood sugar (hyperglycemia) and knowing how to address them. This knowledge is fundamental for the daily management and well-being of someone with diabetes.