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 B

Explanation

A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.

B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.

C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.

D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.

A. Petechiae B. Jaundice C. Cyanosis D. Diaphoresis

Correct Answer is B

Explanation

A) This choice is incorrect because petechiae, which are tiny red or purple spots on the skin, are associated with platelet disorders and not directly related to anemia.

B) This choice is correct. Pallor (pale skin) and jaundice (yellowing of the skin and mucous membranes) are related clinical manifestations of anemia. Jaundice can occur in hemolytic anemias when the breakdown of red blood cells leads to an accumulation of bilirubin.

C) This choice is incorrect because cyanosis, a bluish discoloration of the skin, is not directly related to anemia.

D) This choice is incorrect because diaphoresis, or excessive sweating, is not a typical clinical manifestation of anemia.

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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 with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

Correct Answer is B

Explanation

A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

Correct Answer is B

Explanation

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?

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 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?

A client with anemia is receiving erythropoiesis-stimulating agents (ESAs) to promote red blood cell production. The nurse should monitor the client for which adverse effect related to ESA therapy?

A client with anemia complains of fatigue and weakness. Which additional assessment finding is commonly associated with this condition?

A nurse is educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?

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?

A nurse is caring for a client diagnosed with anemia who is receiving iron supplementation. The nurse should instruct the client to take the iron supplement with which type of beverage to enhance absorption?