NCLEX-PN Quizlet 2023 Related

Review NCLEX-PN Quizlet 2023 related questions and content

Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:

  • A. iron, folic acid, and B12.
  • B. an increase in protein in the diet.
  • C. vitamins A and C.
  • D. an increase in calcium in the diet.
Correct Answer: A

Rationale: Erythropoietin is necessary for red blood cell (RBC) production, and in clients with renal failure who lack endogenous erythropoietin, exogenous erythropoietin is administered. However, for erythropoietin to effectively stimulate RBC production, adequate levels of iron, folic acid, and vitamin B12 are crucial. These nutrients are essential for RBC synthesis and maturation. Therefore, the correct answer is to give iron, folic acid, and B12 with erythropoietin. Choice B, an increase in protein in the diet, is not necessary for RBC production and may exacerbate uremia in clients with renal failure. Choices C and D, vitamins A and C, and an increase in calcium in the diet, respectively, are not directly related to RBC production and are not required to enhance the effectiveness of erythropoietin.