The nurse is caring for a patient who has chronic kidney disease and is very weak due to low hemoglobin. Which of the following does the nurse understand is the best explanation for the anemia?
A) Chronic hypertension associated with chronic kidney disease suppresses the bone marrow.
B) Metabolic acidosis associated with chronic kidney disease increases red blood cell fragility.
C) There is loss of red blood cells in the urine with kidney disease.
D) Secretion of erythropoietin by the diseased kidney is reduced.
Correct Answer:
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