A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?
Sodium
Iron
Potassium
Protein
The Correct Answer is B
A. Increasing sodium intake is generally not recommended in chronic kidney disease, as it can exacerbate hypertension and fluid retention.
B. Epoetin alfa is a medication used to treat anemia associated with chronic kidney disease, and iron supplementation is often necessary to support erythropoiesis.
C. Potassium intake may need to be restricted in chronic kidney disease, especially in later stages when kidney function declines.
D. Protein intake may need to be adjusted in chronic kidney disease, but it's not directly related to the prescription of epoetin alfa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Constipation is more commonly associated with hypothyroidism, not hyperthyroidism.
B. Hyperthyroidism can lead to emotional lability, anxiety, and irritability due to increased metabolic rate.
C. Weight loss is a common manifestation of hyperthyroidism, not weight gain.
D. Sensitivity to cold is more commonly associated with hypothyroidism, not hyperthyroidism.
Correct Answer is A
Explanation
A. Salicylate intoxication can lead to metabolic acidosis due to the accumulation of salicylic acid, which increases metabolic rate and production of organic acids.
B. Thiazide diuretics can lead to metabolic alkalosis due to the loss of hydrogen and chloride ions.
C. Vomiting can lead to metabolic alkalosis due to the loss of gastric acid.
D. Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate-rich fluids.
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