A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

Iron deficiency

Impaired erythropoietin production

Hemolysis of red blood cells

Vitamin B12 deficiency

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because iron deficiency is one of the causes of anemia, but in chronic kidney disease, impaired erythropoietin production is the primary reason.

B) This choice is correct. Anemia in chronic kidney disease is primarily caused by decreased production of erythropoietin, a hormone produced by the kidneys that stimulates red blood cell production in the bone marrow.

C) This choice is incorrect because hemolysis of red blood cells is not the main cause of anemia in chronic kidney disease.

D) This choice is incorrect because vitamin B12 deficiency is not typically associated with anemia in chronic kidney disease.

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Correct Answer is A

Explanation

A) This choice is correct. Folate-deficiency anemia can present with fatigue, weakness, and glossitis (inflammation of the tongue), leading to a red, sore tongue.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells, and it does not specifically cause a red, sore tongue.

C) This choice is incorrect because sickle cell anemia primarily causes vaso-occlusive crises and pain, not symptoms related to the tongue.

D) This choice is incorrect because iron-deficiency anemia does not cause glossitis; however, it may present with fatigue and weakness.

A. Taking the supplement with meals may reduce gastrointestinal side effects. B. Taking the supplement with meals may enhance iron absorption. C. Taking the supplement with meals may improve its effectiveness. D. Taking the supplement with meals may prevent interactions with other medications.

Correct Answer is A

Explanation

A) This choice is correct. Taking the iron supplement with meals may reduce gastrointestinal side effects, such as nausea and stomach upset, which are common with iron supplementation.

B) This choice is incorrect because taking iron supplements with meals may reduce iron absorption due to interference with other dietary components.

C) This choice is incorrect because taking the supplement with meals does not directly improve its effectiveness in treating anemia.

D) This choice is incorrect because interactions with other medications are not specifically related to the timing of iron supplementation with meals.

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A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents with fatigue, weakness, and a red, sore tongue. A nurse suspects the client may have a specific type of anemia. Which type is most likely based on these findings?

Correct Answer is A

Explanation

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse advises the client to take the medication at least one hour before or two hours after meals. What should the nurse inform the client about this timing?

Correct Answer is A

Explanation

A nurse is caring for a client with anemia who is experiencing fatigue and weakness. The nurse should recommend which activity to conserve energy and manage the symptoms?

A nurse is assessing a client with suspected anemia. Which laboratory test is commonly used to confirm the diagnosis of anemia?

A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

A client presents with signs of hemolysis, including jaundice and an elevated bilirubin level. Which type of anemia is most likely to be associated with these findings?

A client with anemia is experiencing headaches and dizziness. A nurse should suspect which type of anemia?

A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

A nurse is caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?