A client with chronic kidney disease (CKD) reports increasing fatigue, pruritus, and leg cramps. Laboratory results reveal BUN 35 mmol/L, creatinine 450 µmol/L, potassium 5.8 mmol/L, and hemoglobin 85 g/L. The nurse anticipates which prescription to address the client's anemia related to CKD?

Question: A client with chronic kidney disease (CKD) reports increasing fatigue, pruritus, and leg cramps. Laboratory results reveal BUN 35 mmol/L, creatinine 450 µmol/L, potassium 5.8 mmol/L, and hemoglobin 85 g/L. The nurse anticipates which prescription to address the client's anemia related to CKD?

Answer options:

• Iron sucrose intravenous infusion ✅ Epoetin alfa subcutaneous injection
• Folic acid daily oral supplement
• Packed red blood cell transfusion

Correct answer: Epoetin alfa subcutaneous injection

Explanation: Anemia in chronic kidney disease is primarily caused by decreased production of erythropoietin by the kidneys. Epoetin alfa is an erythropoiesis-stimulating agent that helps stimulate red blood cell production.