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?
Hypotension
Hypokalemia
Hypoglycemia
Thrombosis
The Correct Answer is D
A) This choice is incorrect because ESA therapy is not typically associated with hypotension. In fact, an increase in blood pressure is a potential side effect of ESAs.
B) This choice is incorrect because hypokalemia (low potassium levels) is not a common adverse effect of ESA therapy.
C) This choice is incorrect because hypoglycemia (low blood sugar) is not a typical side effect of ESA therapy.
D) This choice is correct. ESA therapy can increase the risk of thrombosis (blood clot formation) due to the stimulation of red blood cell production. Clients receiving ESAs should be monitored for signs of thrombosis, such as swelling, pain, and redness in the extremities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
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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