The Nurse Is Caring for a Client Diagnosed with Chronic

The nurse is caring for a client diagnosed with chronic kidney disease (CKD) who is pale and experiencing fatigue. The nurse attributes these symptoms to anemia secondary to CKD. The client's spouse asks why the client is anemic. Which response by the nurse is the most appropriate?

A) "Your spouse has a genetic tendency for the development of anemia."
B) "The increased metabolic waste products in your spouse's body depress the bone marrow and cause anemia."
C) "Your spouse's kidneys are producing reduced amounts of the hormone erythropoietin, and this is the cause of the anemia."
D) "Your spouse is not eating enough iron-rich foods, and this has led to anemia."