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Practice Question

The nurse is caring for a client who has chronic kidney disease and is very weak due to low hemoglobin. What does the nurse understand is the best explanation for the anemia in the renal failure client?

Answer Choices:

Correct Answer:

Secretion of erythropoietin by the diseased kidney is reduced or non-existent

Rationale:

🩸The kidneys normally produce erythropoietin, a hormone that stimulates red blood cell production in the bone marrow.

⚠️In chronic kidney disease (CKD), the diseased kidneys cannot produce enough erythropoietin.

📉This results in anemia of chronic disease, with decreased hemoglobin and hematocrit.

💉Treatment often involves erythropoiesis-stimulating agents (ESAs) and iron supplementation to restore levels.

📌Core Message

In chronic kidney disease, anemia occurs due to decreased erythropoietin secretion, leading to impaired red blood cell production.

Want to practice more questions like this?

This question is from RN NUR Med-Surg Exam-5 ID_1285638 which contains 49 questions.

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From Exam
RN NUR Med-Surg Exam-5 ID_1285638

49 Questions

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Question Details
  • Category: RN Nursing Exams
  • Subcategory: EXAMPLIFY Practice (RN)
  • Domain: Med-Surg (RN Examplify)
  • Answer Choices: 4
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