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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because hemolytic anemia typically presents with normocytic and normochromic red blood cells, as the bone marrow compensates by releasing immature red blood cells.
B) This choice is incorrect because sickle cell anemia is characterized by the presence of sickle-shaped red blood cells and is not associated with microcytic and hypochromic cells.
C) This choice is correct. Thalassemia is a type of anemia in which the synthesis of globin chains is impaired, leading to microcytic and hypochromic red blood cells.
D) This choice is incorrect because pernicious anemia is associated with macrocytic and normochromic red blood cells due to vitamin B12 deficiency.
Correct Answer is D
Explanation
A) This choice is incorrect because coffee contains substances that can inhibit iron absorption.
B) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.
C) This choice is incorrect because water does not enhance iron absorption.
D) This choice is correct. Orange juice, or any other vitamin C-rich beverage, enhances the absorption of non-heme iron found in supplements and plant-based foods.
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