A client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?

Blood pressure monitoring

Serum potassium levels

Dietary sodium intake

Iron levels and supplementation

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because while blood pressure monitoring is essential for clients with chronic kidney disease, it is not specifically related to ESA therapy.

B) This choice is incorrect because serum potassium levels are important in chronic kidney disease, but they are not directly related to ESA therapy.

C) This choice is incorrect because dietary sodium intake is important in managing fluid balance in chronic kidney disease, but it is not directly related to ESA therapy.

D) This choice is correct. ESA therapy stimulates the production of red blood cells, and adequate iron levels are necessary for this process. Clients with chronic kidney disease often have decreased iron levels due to various factors, and iron supplementation is crucial for the success of ESA therapy.

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Correct Answer is A

Explanation

A) This choice is correct. Taking iron supplements with orange juice or other vitamin C-rich beverages enhances iron absorption due to the presence of vitamin C, which facilitates the absorption of non-heme iron.

B) This choice is incorrect because milk can inhibit iron absorption when taken with iron supplements.

C) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.

D) This choice is incorrect because carbonated water does not enhance iron absorption.

A. Iron-deficiency anemia B. Hemolytic anemia C. Sickle cell anemia D. Aplastic anemia

Correct Answer is A

Explanation

A) This choice is correct. Iron-deficiency anemia may present with an increased number of target cells on the peripheral blood smear, which are red blood cells with a central area of pallor and a surrounding ring of hemoglobin. This appearance is due to a reduced hemoglobin content in relation to cell size.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and typically presents with different morphological changes on the peripheral blood smear.

C) This choice is incorrect because sickle cell anemia is associated with the presence of sickle-shaped cells, not target cells.

D) This choice is incorrect because aplastic anemia is characterized by a decrease in the number of all formed elements of the blood (red blood cells, white blood cells, and platelets), and it does not typically cause target cells.

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A client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?

Correct Answer is A

Explanation

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 nurse is caring for a client with anemia, and the client has a history of chronic inflammatory diseases such as rheumatoid arthritis. Which of the following types of anemia is most likely to be associated with chronic inflammatory conditions?

A client diagnosed with sickle cell anemia is admitted to the hospital during a vaso-occlusive crisis. The nurse understands that which of the following interventions is a priority in managing this crisis?

A nurse is caring for a client with megaloblastic anemia. Which vitamin deficiency is most likely responsible for this condition?

A client with anemia is prescribed oral iron supplements. The nurse advises the client to take the supplements with which beverage to enhance iron absorption?

A nurse is assessing a client with anemia. Which of the following symptoms is most commonly associated with anemia?

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 nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?