Which response by a patient with chronic kidney disease indicates to the nurse that more teaching about the disease is needed?
A) "CKD can cause me to have a high blood count."
B) "CKD can progress quickly to ESRD."
C) "Bone fractures may occur."
D) "I need to modify my risk factors for cardiovascular disease."
A) "CKD can cause me to have a high blood count."
Explanation: A) Outcomes of CKD include complications of decreased kidney function, which include anemia, uremia, derangements of bone and mineral metabolism, cardiovascular disease (CVD), and the potential to progress to ESRD. Cardiovascular disease is the leading cause of death for people with CKD.
B) Chronic kidney disease can progress to ESRD rapidly, over a few months, or slowly over many years with the deterioration related to the cause.
C) Outcomes of CKD include complications of decreased kidney function, which include anemia, uremia, derangements of bone and mineral metabolism, cardiovascular disease (CVD), and the potential to progress to ESRD. Cardiovascular disease is the leading cause of death for people with CKD.
D) Increasing evidence suggests that some of the adverse outcomes can be delayed by early prevention and treatment of CKD. Management of CVD risk factors reduces the risk of progression.
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