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)

Erythropoietin Injection.

Packed Red Blood Cells Transfusion

Intravenous Iron Infusion

Platelet Transfusion

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 D

Explanation

(A) Hydrochlorothiazide: A thiazide diuretic used for hypertension, not ICP.

(B) Spironolactone: A potassium-sparing diuretic used for heart failure, not ICP.

(C) Furosemide: A loop diuretic that reduces fluid overload but is not the first choice for ICP management.

(D) Mannitol: An osmotic diuretic that reduces brain swelling by drawing fluid out of the brain and into the bloodstream.

A. Benign prostatic hyperplasia (BPH) B. Acute tubular necrosis C. Renal calculi D. Ureteral stricture E. Bladder tumor

Correct Answer is ["A","C","D","E"]

Explanation

(A) Benign Prostatic Hyperplasia (BPH): Enlarged prostate can obstruct urine flow, leading to postrenal AKI.

(B) Acute Tubular Necrosis: This is an intrarenal cause of AKI, resulting from direct kidney injury, not obstruction.

(C) Renal Calculi: Kidney stones blocking the ureter prevent urine excretion, causing back pressure on the kidneys.

(D) Ureteral Stricture: Narrowing of the ureter restricts urine outflow, leading to postrenal AKI.

(E) Bladder Tumor: A tumor in the bladder can obstruct urine passage, leading to kidney damage.

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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)

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Naxlex Comprehensive Predictor Exams

Which diuretic is most appropriate for treating a patient with increased intracranial pressure (ICP)?

Correct Answer is D

Explanation

The nurse is monitoring a patient with postrenal acute kidney injury (AKI). Which conditions can lead to this type of AKI? (Select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

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