A client with chronic renal disease asks the nurse why she needs ...

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A client with chronic renal disease asks the nurse why she needs to receive erythropoietin injections. Which of the following should the nurse respond to this client?
 
  1. It makes more vitamin D in your body.
  2. It encourages your kidneys to remove more waste products.
  3. It stimulates red blood cell production in the bone marrow.
  4. It helps remove ammonia from your blood.

Question 2

A school age child has sustained a fractured femur. When assessing the location of the break, the area that could cause the most concern would be the:
 
  1. diaphysis.
  2. epiphyseal plate.
  3. medullary cavity.
  4. metaphysis.

[aham8f]

Answer to Question 1

3
Erythropoietin stimulates red blood cell production in the bone marrow, which is compromised in renal failure. This is what the nurse should respond to the client. Erythropoietin does not make vitamin D, remove waste products, or remove ammonia from the blood.

Answer to Question 2

2
The epiphyseal plate, or growth plate, is where active longitudinal growth occurs. If a fracture occurs in or through the epiphyseal plate, growth in that extremity may be delayed or stopped. The diaphysis is the shaft of the long bone. The medullary cavity is the bone marrow. The metaphysis is the area of transition between the diaphysis and the epiphysis.