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A client with chronic renal failure is prescribed erythropoietin-stimulating agents (ES

to manage anemia. What should the nurse include in the client's education about ESA therapy?A. "You should report any symptoms of dehydration or thirst to your healthcare provider."

"Monitor your blood pressure regularly while taking ESA to ensure it remains stable."

"You may experience increased appetite and weight gain with ESA therapy."

"Be cautious about engaging in strenuous activities while on ESA to prevent bleeding."

Answer and Explanation

The Correct Answer is B

A. Incorrect. ESA therapy is not directly related to dehydration or thirst. It is used to manage anemia by stimulating red blood cell production.

B. Correct. ESA therapy can increase red blood cell production, which may elevate blood pressure. Regular blood pressure monitoring is essential to ensure it remains within a safe range.

C. Incorrect. Increased appetite and weight gain are not typical side effects of ESA therapy.

D. Incorrect. ESA therapy is not associated with an increased risk of bleeding or restrictions on engaging in strenuous activities. It is used to manage anemia and improve overall blood cell counts.

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Correct Answer is D

Explanation

A. Incorrect. Hyperkalemia, or high potassium levels, can cause muscle weakness and potentially cardiac arrhythmias, but it is not typically associated with difficulty concentrating or irritability.

B. Incorrect. Hyponatremia, or low sodium levels, can cause neurological symptoms such as confusion and headache, but it is not typically associated with muscle cramps.

C. Incorrect. Hypocalcemia, or low calcium levels, can cause muscle cramps and neurological symptoms, but it is not specifically associated with difficulty concentrating and irritability.

D. Correct. Hyperphosphatemia, or high phosphorus levels, is common in chronic renal failure due to impaired kidney function. Elevated phosphorus levels can lead to the binding of calcium, resulting in decreased ionized calcium in the blood. This can cause neuromuscular irritability, difficulty concentrating, and muscle cramps.

A. "Take the phosphate binders with a glass of milk for better absorption." B. "Avoid taking the phosphate binders with meals to prevent stomach upset." C. "Consume foods rich in vitamin D to enhance the effectiveness of the binders." D. "Calcium-based phosphate binders may cause constipation, so drink plenty of fluids."

Correct Answer is D

Explanation

A. Incorrect. Calcium-based phosphate binders should not be taken with milk or calcium-rich foods, as this can lead to an excessive calcium load and increase the risk of hypercalcemia.

B. Incorrect. Calcium-based phosphate binders are most effective when taken with meals to bind to dietary phosphorus.

C. Incorrect. While vitamin D plays a role in calcium metabolism, its supplementation is not directly related to the use of calcium-based phosphate binders.

D. Correct. Constipation is a common side effect of calcium-based phosphate binders. Increasing fluid intake can help alleviate constipation and promote bowel regularity.

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A client with chronic renal failure is prescribed erythropoietin-stimulating agents (ES

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Naxlex Comprehensive Predictor Exams

A client with chronic renal failure presents with difficulty concentrating, irritability, and muscle cramps. Which electrolyte imbalance should the nurse suspect as the cause of these symptoms?

Correct Answer is D

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A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?

Correct Answer is D

Explanation

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