A client with chronic renal failure is experiencing severe anemia. Which laboratory finding should the nurse expect in this client?

Elevated hemoglobin levels

Increased red blood cell count

Decreased hematocrit levels

Elevated platelet count

Answer and Explanation

The Correct Answer is C

A. Incorrect. Severe anemia in chronic renal failure is characterized by low hemoglobin levels, not elevated levels.

B. Incorrect. Chronic renal failure can lead to decreased red blood cell production, resulting in a reduced red blood cell count.

C. Correct. Chronic renal failure often leads to decreased production of erythropoietin, a hormone that stimulates red blood cell production. This deficiency results in low hematocrit levels and severe anemia.

D. Incorrect. Chronic renal failure is not typically associated with elevated platelet counts; in fact, it can lead to platelet dysfunction and an increased risk of bleeding.

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Correct Answer is D

Explanation

A. Incorrect. Hyperthyroidism is not a known risk factor for chronic renal failure. However, uncontrolled thyroid disease may contribute to cardiovascular issues that can impact kidney health.

B. Incorrect. Peptic ulcer disease is not a risk factor for chronic renal failure.

C. Incorrect. Chronic obstructive pulmonary disease (COPD. is not directly associated with an increased risk of chronic renal failure. However, chronic illnesses can place additional stress on the kidneys over time.

D. Correct. Hypertension, or high blood pressure, is a significant risk factor for chronic renal failure. Long-term uncontrolled hypertension can damage the blood vessels in the kidneys, leading to chronic kidney disease.

A. Angiotensin-converting enzyme (ACE. inhibitor B. Phosphate binder C. Erythropoietin-stimulating agent (ESA. D. Potassium-sparing diuretic

Correct Answer is A

Explanation

A. Correct. ACE inhibitors are commonly prescribed to manage hypertension and fluid overload in clients with chronic renal failure. These medications help relax blood vessels, reduce fluid retention, and lower blood pressure.

B. Incorrect. Phosphate binders are prescribed to control phosphate levels, but they do not directly address fluid overload and hypertension.

C. Incorrect. Erythropoietin-stimulating agents (ESA. are used to manage anemia in chronic renal failure and do not specifically address hypertension or fluid overload.

D. Incorrect. Potassium-sparing diuretics may not be the first for managing fluid overload and hypertension in chronic renal failure, especially if the client has elevated potassium levels. ACE inhibitors are a more suitable option in this scenario.

QUESTIONS

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A client with chronic renal failure is experiencing severe anemia. Which laboratory finding should the nurse expect in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's risk factors for chronic renal failure. Which medical condition should the nurse recognize as a significant risk factor for kidney disease?

Correct Answer is D

Explanation

A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

Correct Answer is A

Explanation

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