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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Constipation is not typically associated with hypocalcemia.
B. Shortened QT intervals are not characteristic of hypocalcemia; rather, prolongation of QT intervals is more common.
C. Hypoactive deep tendon reflexes, would suggest a decrease in neuromuscular excitability, which is contrary to the increased excitability seen in hypocalcemia. Therefore, hypoactive deep tendon reflexes is more commonly associated with hypercalcemia and not hypocalcemia.
D. Tingling of the extremities is a common symptom of hypocalcemia.

A. pH 7.45 B. PaCO, 50 mm Hg C. Potassium 3.3 mEq/L D. HCO 30 mEq/L

Correct Answer is B

Explanation

A. In respiratory acidosis, the pH would be lower than normal due to an excess of carbon dioxide.
B. PaCO2 (partial pressure of carbon dioxide) would be elevated in respiratory acidosis because of inadequate ventilation leading to CO2 retention.
C. Potassium levels may vary depending on other factors but are not directly related to respiratory acidosis.
D. HCO3 (bicarbonate) levels may be normal or increased compensatorily in chronic respiratory acidosis, not necessarily decreased.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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