Clients with CKD are at risk for demineralization of their bones since they are no longer able to:
A) Transform vitamin D to its active form
B) Excrete bicarbonate effectively
C) Stimulate bone osteoclastic production
D) Synthesize erythropoietin
Ans: A
Feedback:
The kidneys aid in calcium metabolism by activating vitamin D, after it is chemically converted by the liver. Bicarbonate buffering is unrelated to activation of vitamin D. Bone marrow is stimulated by the synthesis of erythropoietin to form red blood cells, which is unrelated to calcium levels.
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