Question
D Question 1 1 pts The nurse is caring for a patient with chronic kidney disease...
D Question 1 1 pts The nurse is caring for a patient with chronic kidney disease who has a hemoglobin (Hgb) of 9.5 gm/dL. Which of the following is the best explanation for the Hgb? The kidneys unable to control the secretion of renin.. Inadequate food intake due to nausea and vomiting. There kidneys are unable to convert vitamin D and causing hypocalcemia. The kidneys are unable to secrete erythropoletin. Question 2 1 pts A patient diagnosed with chronic kidney disease is experiencing chronic metabolic acidosis. The nurse understands the cause of this is: The retention of potassium. The excretion of acid and the reapportion of bicarbonate. O A decrease in the secretion of erythropoietin The retention of urea.
Answers
Q.1. In the case of a healthy kidney, it releases the EPO (erythropoietin hormone) responsible which promotes the production of RBCs by the bone marrow, which contains the oxygen-containing protein i.e. hemoglobin adequately.
But in the case of chronic kidney disease the kidney does not produce ample level of the EPO, which affects the RBCs production and leads to lower levels of hemoglobin and in this case i.e. 9.5 gm/dl, but the normal level is 12.5 to 16.5 gm/dl. Hence option D is correct.
Q.2. The main reason for the development of chronic metabolic acidosis in the case of chronic kidney diseases is altered ammonia excretion, altered reabsorption of bicarbonate leading to reapportion bicarbonate.
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