To maintain hematocrit levels in people with kidney failure, the ...

[colton]

To maintain hematocrit levels in people with kidney failure, the nurse should be prepared to
 
  A)
  arrange for frequent blood transfusions in an outpatient clinic.
  B)
  administer iron dextran intravenously.
  C)
  administer a subcutaneous injection of recombinant human erythropoietin (rhEPO).
  D)
  administer prenatal vitamins twice a day.

Question 2

Which of the following individuals are at risk of developing metabolic alkalosis? Select all that apply.
 
  A)
  A 70-year-old woman who has taken two tablespoons of baking soda to settle her sour stomach
  B)
  A hospital patient who is on nasogastric suction following gastric surgery
  C)
  A 20-year-old male who has been regularly inducing himself to vomit following binge eating
  D)
  A 33-year-old male patient who is on mechanical ventilation in the intensive care unit following a head injury
  E)
  A 58-year-old alcoholic male who has been foregoing food for several weeks while drinking heavily
  F)
  A 60-year-old female who has chronic renal failure secondary to hypertension

[wuly]

Answer to Question 1

Ans:
C

Feedback:

Recombinant human erythropoietin (rhEPO) helps maintain hematocrit levels in people with kidney failure. Secondary benefits include improvement in appetite, energy level, sexual function, skin color, and hair and nail growth, and reduced cold intolerance. Blood transfusion is a treatment if symptomatic with low hemoglobin; however, they try to prevent this by giving EPO or IV iron dextran if there is severe iron deficiency anemia. Prenatal vitamins are high in vitamins but not helpful to renal failure patients.

Answer to Question 2

Ans:
A, B, C

Feedback:

Ingestion of bicarbonate, gastric suction, and vomiting are causes of metabolic alkalosis. Patients on mechanical ventilation are at risk of respiratory alkalosis, while heavy alcohol use and renal failure are associated with acidosis.

[colton]

Excellent

[amit]

TYSM