A patient with chronic kidney disease is very weak due to low hemoglobin. What should the nurse understand as the best explanation for the anemia?
a. Secretion of erythropoietin by the diseased kidney is reduced.
b. There is loss of red blood cells in the urine with kidney disease.
c. Chronic hypertension associated with chronic kidney disease suppresses the bone marrow.
d. Metabolic acidosis associated with chronic kidney disease increases red blood cell fragility.
ANS: A
In chronic kidney disease secretion of erythropoietin by the diseased kidney is reduced. B. C. D. This patient is not experiencing anemia because of a loss of red blood cells, chronic hypertension, or metabolic acidosis.
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