A client with chronic renal failure asks the nurse why he is anemic. Which of the following responses by the nurse is best?
1. "The increased metabolic waste products in your body depress the bone marrow.".
2. "We will need to review your dietary intake of iron-rich foods.".
3. "There is a decreased production by the kidneys of the hormone erythropoietin.".
4. "It is most likely that you have hereditary traits for the development of anemia.".
3. "There is a decreased production by the kidneys of the hormone erythropoietin.".
Rationale:
Anemia is common in clients with renal failure. Among the factors causing the anemia are decreased production of erythropoietin by the kidneys and shortened red blood cell (RBC) life. Erythropoietin is involved in the stimulation of the bone marrow to produce RBCs. Metabolic wastes do not suppress the bone marrow. Diet and hereditary do not factor into the production of erythropoietin.
You might also like to view...
During the assessment of a client's respiratory system, the nurse determines that the client's expiration phase is the same length as the inspiration phase. The client's respiratory rate is 14 per minute
The nurse would document this finding as: 1. obstructive breathing. 2. bradypnea. 3. respiratory distress. 4. normal.
A patient has a systemic candidal infection, and the provider has ordered oral fluconazole [Diflucan] 400 mg on day 1 and 200 mg once daily thereafter. What will the nurse do?
a. Administer the drug as ordered. b. Contact the provider to discuss cutting the dosing in half. c. Contact the provider to discuss giving 400 mg on all days. d. Contact the provider to discuss giving the drug intravenously.
A patient has achieved pain control with an oral opioid and is tolerant of its sedative effects but is having severe constipation. The nurse has contacted the healthcare provider about prescribing a different opioid. What should the nurse anticipate regarding the new drug?
1. The new opioid will be administered by the intravenous route. 2. There will be an increased need to observe the patient for sedation. 3. The starting dose of the new medication will be lower than the equianalgesic dose of the original medication. 4. It will be necessary to add an adjuvant medication to achieve equal pain control. 5. The newly prescribed medication will be a pure opioid agonist.
A study was conducted to evaluate staff nurses' perceptions of a good nurse manager. The researcher identified the nurses involved and shared individual responses with the managers. This scenario best describes a violation of which principle?
1. Anonymity 2. Coercion 3. Confidentiality 4. Informed consent