A client with chronic renal failure is experiencing severe anemia. Which laboratory finding should the nurse expect in this client?

Elevated hemoglobin levels

Increased red blood cell count

Decreased hematocrit levels

Elevated platelet count

Answer and Explanation

The Correct Answer is C

A. Incorrect. Severe anemia in chronic renal failure is characterized by low hemoglobin levels, not elevated levels.

B. Incorrect. Chronic renal failure can lead to decreased red blood cell production, resulting in a reduced red blood cell count.

C. Correct. Chronic renal failure often leads to decreased production of erythropoietin, a hormone that stimulates red blood cell production. This deficiency results in low hematocrit levels and severe anemia.

D. Incorrect. Chronic renal failure is not typically associated with elevated platelet counts; in fact, it can lead to platelet dysfunction and an increased risk of bleeding.

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Correct Answer is B

Explanation

A. Incorrect. While dietary modifications are often necessary in chronic renal failure, this response does not address the client's concerns about lifestyle impact.

B. Correct. Hemodialysis requires a significant time commitment, and clients must plan their activities around the dialysis schedule. It is important for the client to understand the need for regular dialysis sessions to manage their condition effectively.

C. Incorrect. While hemodialysis does require regular sessions, it should not necessarily limit a client's ability to travel or participate in social events. Many individuals on hemodialysis can adjust their activities and still engage in meaningful experiences.

D. Incorrect.

Physical activity is generally encouraged in clients with chronic renal failure, as it contributes to overall well-being. Hemodialysis may increase energy levels and improve the client's ability to engage in physical activity.

A. Antibiotics B. Antihypertensives C. Proton pump inhibitors (PPIs) D. Antipyretics (e.g., acetaminophen)

Correct Answer is C

Explanation

A. Incorrect. Antibiotics are generally safe and are not known to be a risk factor for chronic renal failure.

B. Incorrect. Antihypertensive medications are essential for managing high blood pressure and reducing the risk of kidney damage in individuals with hypertension. They are not considered a risk factor for chronic renal failure.

C. Correct. Proton pump inhibitors (PPIs) are commonly used to treat conditions such as acid reflux and peptic ulcers. Prolonged and high-dose use of PPIs has been associated with an increased risk of kidney disease, including acute interstitial nephritis and chronic kidney disease.

D. Incorrect. Antipyretics such as acetaminophen are generally safe when used appropriately and are not considered a risk factor for chronic renal failure.

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A client with chronic renal failure is experiencing severe anemia. Which laboratory finding should the nurse expect in this client?

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Naxlex Comprehensive Predictor Exams

A client with chronic renal failure is prescribed hemodialysis three times a week. The client expresses concerns about the potential impact on their lifestyle. What is the nurse's best response?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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