A nurse is assessing a client with chronic renal failure. Which of the following clinical manifestations is commonly associated with this condition?
Decreased blood pressure
Increased urine production
Hypokalemia
Anemia
The Correct Answer is D
A) Incorrect. Chronic renal failure often leads to hypertension (high blood pressure), not decreased blood pressure.
B) Incorrect. Chronic renal failure typically results in decreased urine production due to impaired kidney function.
C) Incorrect. Chronic renal failure is more likely to cause hyperkalemia (high potassium levels) rather than hypokalemia.
D) Correct. Anemia is a common complication of chronic renal failure because the kidneys play a crucial role in producing erythropoietin, a hormone that stimulates red blood cell production. When the kidneys are damaged, erythropoietin production decreases, leading to anemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Phosphate binders are most effective when taken with meals because they bind to dietary phosphorus, preventing its absorption in the digestive tract.
B) Incorrect. While constipation can be a side effect of some phosphate binders, drinking plenty of fluids is not directly related to this issue.
C) Incorrect. Phosphate binders should be taken with meals, and calcium supplements should be taken separately to prevent interactions between the two medications.
D) Incorrect. Phosphate binders do not typically lower potassium levels, and monitoring potassium intake is not specifically related to their use.
Correct Answer is B
Explanation
A) Incorrect. Diabetes is strongly associated with an increased risk of chronic renal failure. Chronic kidney disease related to diabetes is known as diabetic nephropathy.
B) Correct. Diabetes is a leading cause of chronic renal failure. Uncontrolled high blood sugar levels can damage the blood vessels in the kidneys over time, leading to kidney disease.
C) Incorrect. Both Type 1 and Type 2 diabetes are associated with an increased risk of chronic renal failure. It is essential for individuals with either type of diabetes to manage their blood sugar levels to reduce the risk of kidney complications.
D) Incorrect. Chronic renal failure can be caused by various factors, but diabetes is a significant and common cause of kidney disease, especially in individuals with uncontrolled diabetes.
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