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A nurse is caring for a patient with CKD who has a hemoglobin level of 8.8 g/dL. Which treatment is expected? (Normal Hgb is 11.6 to 16 g/dL)

A.

Erythropoietin Injection.

B.

Packed Red Blood Cells Transfusion

C.

Intravenous Iron Infusion

D.

Platelet Transfusion

E.

Bone Marrow Transplant

Answer and Explanation

The Correct Answer is A

(A) Erythropoietin Injection: CKD patients often develop anemia due to reduced erythropoietin production by the kidneys. Administering synthetic erythropoietin stimulates red blood cell production.

 (B) Packed Red Blood Cells Transfusion: Reserved for severe anemia (Hgb < 7 g/dL) or symptomatic cases, not mild anemia.

(C) Intravenous Iron Infusion: Used if iron deficiency is present, but erythropoietin deficiency is the main issue in CKD anemia.

(D) Platelet Transfusion: Platelets are used for bleeding disorders, not anemia.

(E) Bone Marrow Transplant: Not a treatment for CKD-related anemia, which is not caused by bone marrow failure.


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Related Questions

Correct Answer is B

Explanation

(A) Decreased Skin Turgor: Seen in dehydration, not fluid overload.

(B) Jugular Venous Distension (JVD): A classic sign of fluid overload due to increased central venous pressure and right-sided heart strain.

(C) Hypotension: Overload causes hypertension, not hypotension.

(D) Dry Mucous Membranes: Seen in dehydration

Correct Answer is D

Explanation

(A) "It increases my urine output." ADH reduces urine output by increasing water retention.

(B) "It reduces the reabsorption of sodium in my kidneys." ADH affects water reabsorption, not sodium regulation.

(C) "It decreases water reabsorption in my kidneys." ADH increases, not decreases, water reabsorption.

(D) "It helps retain water to maintain my blood pressure." ADH promotes water reabsorption in the kidneys, reducing urine output and increasing blood volume, which helps maintain blood pressure.

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