The nurse is caring for a client with chronic renal disease who is pale and experiencing fatigue. The nurse attributes these symptoms to anemia secondary to chronic renal disease. The client's spouse asks why the client is anemic
Which response by the nurse is the most appropriate?
A) "Your spouse has a genetic tendency for the development of anemia."
B) "The increased metabolic waste products in the body depress the bone marrow and cause anemia."
C) "There is a decreased production by the kidneys of the hormone erythropoietin which is the cause of anemia."
D) "The client is not eating enough iron-rich foods which is causing anemia."
Answer: C
Anemia is common in clients with renal disease. 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 heredity do not factor into the production of erythropoietin.
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