Question

A nurse is performing client education with an adult recently diagnosed with chronic kidney disease. Which statement by the client would the nurse most likely want to correct or clarify?

a. "I will be prone to anemia, since I am 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 will have a risk of either bleeding too easily or possibly clotting too quickly. though dialysis can help minimize these effects."

Answer 1

The correct answer is option a. "I will be prone to anemia, since I am not producing as much of the hormone that causes my bones to produce red blood cells."

Step-by-step explanation:

The nurse would most likely want to correct or clarify statement a: "I will be prone to anemia since I am not producing as much of the hormone that causes my bones to produce red blood cells."

This statement is incorrect because the hormone that stimulates the production of red blood cells in the bone marrow is called erythropoietin (EPO), not a hormone that causes the bones to produce red blood cells. EPO is secreted by the kidneys in response to low levels of oxygen in the blood. It stimulates erythropoiesis, which is the production of red blood cells.

It is important for the client to understand the role of EPO in the development of anemia and the need for management strategies such as dialysis to minimize the effects of chronic kidney disease on blood clotting and bleeding tendencies.