UP NHM CHO 7 Sept 2022(shift-1st)
Medical & Surgical Nursing
Medium
Which of the following is NOT a cause of anaemia in Chronic Kidney Disease?
Appeared in: UP NHM CHO 7 Sept 2022(shift-1st)
Explanation
- In Chronic Kidney Disease (CKD), the body's ability to regulate minerals like calcium and phosphate is impaired, leading to secondary hyperparathyroidism.
- This condition is characterized by elevated levels of parathyroid hormone (PTH), not reduced levels.
- High levels of PTH act as a uremic toxin that can suppress the bone marrow's ability to produce red blood cells and can also lead to bone marrow fibrosis.
- Therefore, a reduced level of parathyroid hormone is not a cause of anemia in CKD; the opposite (elevated level) is a contributing factor.
Why Other Options Were Wrong
- Option A: This is the primary and most significant cause of anemia in CKD. The kidneys are the main producers of erythropoietin (EPO), a hormone essential for stimulating red blood cell production.
- Option B: This is a very common cause of anemia in CKD patients. Factors include poor dietary absorption, blood loss from frequent testing, and blood remaining in the dialysis machine after treatment.
- Option D: This is a potential cause of anemia in CKD. Folate is a water-soluble vitamin that can be removed from the blood during dialysis, leading to deficiency if not adequately supplemented.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Pathophysiology of anemia in Chronic Kidney Disease (CKD) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses play a crucial role in managing anemia in CKD patients by administering Erythropoiesis-Stimulating Agents (ESAs) and iron supplements as prescribed.
- Monitoring hemoglobin levels, iron studies (ferritin, transferrin saturation), and vital signs is essential to assess treatment effectiveness and prevent complications like hypertension from ESA therapy.
- Patient education is key, focusing on dietary sources of iron and folate, adherence to medication, and recognizing symptoms of anemia like fatigue and shortness of breath.
How to Approach the Question
- First, identify the negative keyword 'NOT' in the question stem. This means you are looking for the option that is FALSE.
- The question asks for something that is NOT a cause of anemia in Chronic Kidney Disease (CKD).
- Evaluate each option based on your knowledge of CKD pathophysiology.
- Recall that the primary cause is reduced erythropoietin production by the failing kidneys.
- Remember that iron and folate deficiencies are common due to dialysis losses and poor nutrition.
- Consider the role of parathyroid hormone. CKD causes mineral and bone disorders, leading to high PTH (secondary hyperparathyroidism), which suppresses the bone marrow.
Concept Tested & Keywords
- Concept Tested: Pathophysiology of anemia in Chronic Kidney Disease (CKD)
- Stem keywords: anaemia, Chronic Kidney Disease, cause
- Lead-in keywords: NOT
- Negative lead-in flag: Question asks for the exception
Question ID
QFDDKx27Bv6mS6cSribuq9
Reference Book
E6 Medicine Harrison 22e Part 2 p. 297-299
E6 Medicine Harrison 22e Part 1 p. 809-811
Practise the full UP NHM CHO 7 Sept 2022(shift-1st)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Urinary Tract Function Questions
- Assessing the laboratory findings which results would the nurse most likely to expect to find in a client with chronic renal failure?
- A nurse is taking care of Chronic renal dysfunction patient. What diet she will advise for this patient?
- The following are the use of the central line catheter; EXCEPT:
- The involuntary loss of urine through an intact urethra as a result of sudden increase in the intra-abdominal pressure is called:
- Which of the following is the warning sign post renal transplantation?
- What is contraindicated in male patient reporting the symptoms of redness and ecchymosis in the scrotum region?
- A patient with low urine specific gravity will have all the following characteristics; EXCEPT:
- Food contraindicated with CRF and spironolactone:
- When initiating the use of a newly inserted Central Venous Access Device (CVAD), what is the recommended syringe size for the initial flushing proced…
- Which fluid used to inflate in a urinary Catheter balloon?
More UP NHM CHO 7 Sept 2022(shift-1st) Questions
- Foetal infection of a pregnant woman with syphilis can be diagnosed by:
- If a pregnant woman's BMI is 32, then the woman is diagnosed to be:
- An unregistered primipara woman with a history of no ANC and immunisation, has delivered a male baby in the labour room. She was tested to be Rh-nega…
- The care organised for and provided to all women in a manner that maintains their dignity, privacy and confidentiality, ensures freedom from harm and…
- The irregular, pink, depressed linear marks seen over the lower abdomen and the thighs during pregnancy are known as \ \ \ \ \ \ .
- Name the structure formed from the union of the ampulla of the ductus deferens and the duct of the seminal vesicle
- Which of the following maternal haemoglobinopathies causes non-immune foetal hydrops?
- Which of the following is NOT a benefit of Kegel exercises?
- The introduction of the services of an ASHA worker is an example of which of the following?
- Prevention and control of locally endemic diseases is the key function of: