A client with chronic renal failure is prescribed erythropoietin-stimulating agents (ES
to manage anemia. What should the nurse include in the client's education about ESA therapy?A. "You should report any symptoms of dehydration or thirst to your healthcare provider."
"Monitor your blood pressure regularly while taking ESA to ensure it remains stable."
"You may experience increased appetite and weight gain with ESA therapy."
"Be cautious about engaging in strenuous activities while on ESA to prevent bleeding."
The Correct Answer is B
A. Incorrect. ESA therapy is not directly related to dehydration or thirst. It is used to manage anemia by stimulating red blood cell production.
B. Correct. ESA therapy can increase red blood cell production, which may elevate blood pressure. Regular blood pressure monitoring is essential to ensure it remains within a safe range.
C. Incorrect. Increased appetite and weight gain are not typical side effects of ESA therapy.
D. Incorrect. ESA therapy is not associated with an increased risk of bleeding or restrictions on engaging in strenuous activities. It is used to manage anemia and improve overall blood cell counts.
Nursing Test Bank
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Related Questions
Correct Answer is C
Explanation
A. Incorrect. While proper medication adherence can help prevent drug interactions, it is not the primary reason for advising clients to take medications as prescribed in chronic renal failure.
B. Incorrect. Medication adherence may or may not directly impact the cost of treatment, but the main reason for consistent use is to manage the condition effectively.
C. Correct. Adhering to medication regimens in chronic renal failure is crucial for slowing the progression of kidney damage. Medications are prescribed to control blood pressure, manage complications, and reduce the strain on the kidneys.
D. Incorrect. Medication adherence is essential, but it does not eliminate the need for dietary restrictions in chronic renal failure. Dietary modifications are also a vital part of managing the condition effectively.
Correct Answer is C
Explanation
A. Incorrect. Cardiovascular disease can impact kidney health. The heart and kidneys are closely connected, and conditions that affect the heart can also have implications for kidney function.
B. Incorrect. High cholesterol levels can contribute to cardiovascular disease, and cardiovascular disease is a significant risk factor for chronic renal failure. Therefore, high cholesterol indirectly impacts kidney health.
C. Correct. Cardiovascular disease, including conditions like heart failure or atherosclerosis, can lead to decreased blood flow to the kidneys, impairing kidney function and contributing to chronic renal failure.
D. Incorrect. High blood pressure is a well-established risk factor for chronic renal failure. Uncontrolled hypertension can damage the blood vessels in the kidneys, leading to kidney dysfunction over time.
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