A patient has had chronic kidney disease (CKD) for many years. The patient sustains a hip fracture. The high risk of fractures is related to a(n)
inability of the kidneys to produce erythropoietin.
increased ability to absorb calcium from the foods that are eaten.
decreased ability of the kidneys to activate vitamin D.
decreased serum phosphate.
The Correct Answer is C
A. While CKD does reduce erythropoietin production, this affects anemia rather than bone health or fracture risk.
B. CKD often leads to decreased calcium absorption due to impaired vitamin D activation, not an increased absorption. C. In CKD, the kidneys lose the ability to convert vitamin D to its active form, impairing calcium absorption from the intestine and weakening
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. ACE inhibitors block the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor in the RAAS, which leads to decreased blood pressure by promoting vasodilation.
B. The RAAS is primarily a vasoconstrictive system, and ACE inhibitors reduce this vasoconstriction, not vasodilation.
C. ACE inhibitors do not directly affect the inotropic (force of contraction) effects of the SNS; they work on the RAAS.
D. While natriuretic peptides help regulate fluid balance, ACE inhibitors do not directly impact this system.
Correct Answer is C
Explanation
A. While CKD does reduce erythropoietin production, this affects anemia rather than bone health or fracture risk.
B. CKD often leads to decreased calcium absorption due to impaired vitamin D activation, not an increased absorption.C. In CKD, the kidneys lose the ability to convert vitamin D to its active form, impairing calcium absorption from the intestine and weakening
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