A nurse educator is performing client education with a 51-year-old man who has been recently diagnosed with chronic kidney disease. Which of the following statements by the client would the nurse most likely want to correct or clarify?
A)
"I'll be prone to anemia, since I'm not producing as much of the hormone that causes my bones to produce red blood cells."
B)
"My heart rate might go up because of my kidney disease, and my blood might be a lot thinner than it should be."
C)
"My kidney problems increase my chance of developing high blood pressure or diabetes."
D)
"I'll have a risk of either bleeding too easily or possibly clotting too quickly, though dialysis can help minimize these effects."
Ans:
C
Feedback:
While high blood pressure can be causative of, or consequent to, renal failure, diabetes is not normally a result of existing CKD. Persons with renal failure are indeed prone to anemia, increased heart rate, decreased blood viscosity, and coagulopathies. The risk of bleeding and thrombotic disorders can be partially mitigated by dialysis.
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