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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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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"D"},"E":{"answers":"F"}}

Explanation

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Correct Answer is A

Explanation

(A) Hyponatremia: SIADH leads to excess ADH secretion, causing water retention, dilution of sodium levels, and hyponatremia.

(B) Hypokalemia: SIADH does not primarily affect potassium.

(C) Hypernatremia: Excess ADH dilutes sodium, leading to low sodium levels, not high.

(D) Hyperkalemia: SIADH primarily causes hyponatremia, not potassium imbalances.

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