An older adult client with renal failure is diagnosed with anemia. Based on this data, which cause of anemia will the nurse plan for when providing care?
A) Loss of the kidney hormone erythropoietin
B) A loss of appetite related to elevated blood urea nitrogen (BUN) and creatinine levels
C) The renal dialysis used to treat the chronic renal failure
D) Loss of blood through the urine because the failing kidney does not function properly
Answer: A
The anemia associated with renal failure is related to the loss of erythropoietin, which is produced by the healthy kidney and stimulates bone marrow to produce red blood cells. The anemia is not directly related to anorexia or hemodialysis, although these factors may be somewhat associated with the anemia. Renal failure causes the loss of protein, not blood, through the urine.
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