A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?
"Chronic renal failure is irreversible, and kidney function will continue to decline over time."
"The prognosis for chronic renal failure is excellent with appropriate lifestyle changes and medications."
"With proper management, chronic renal failure can be cured, and kidney function can be fully restored."
"The prognosis varies depending on the cause and stage of chronic renal failure, but early intervention can slow the progression."
The Correct Answer is D
A. Incorrect. While chronic renal failure is often irreversible, the rate of decline in kidney function can vary depending on the underlying cause and the effectiveness of treatment and management.
B. Incorrect. While appropriate lifestyle changes and medications can improve the client's quality of life and slow the progression of the disease, chronic renal failure is a chronic condition that may require ongoing management.
C. Incorrect. Chronic renal failure is generally not curable, but proper management can help stabilize the condition and slow the progression of kidney damage.
D. Correct. The prognosis for chronic renal failure can vary widely depending on factors such as the cause of kidney disease, the stage of kidney damage, and the client's response to treatment. Early intervention, such as controlling blood pressure and blood sugar levels, can help slow the progression of kidney damage and improve long-term outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Severe anemia in chronic renal failure is characterized by low hemoglobin levels, not elevated levels.
B. Incorrect. Chronic renal failure can lead to decreased red blood cell production, resulting in a reduced red blood cell count.
C. Correct. Chronic renal failure often leads to decreased production of erythropoietin, a hormone that stimulates red blood cell production. This deficiency results in low hematocrit levels and severe anemia.
D. Incorrect. Chronic renal failure is not typically associated with elevated platelet counts; in fact, it can lead to platelet dysfunction and an increased risk of bleeding.
QUESTIONS
Correct Answer is A
Explanation
A. Correct. Touching the dialysis catheter site increases the risk of infection, and clients receiving peritoneal dialysis must practice meticulous catheter care to minimize this risk.
B. Incorrect. While daily weight monitoring is essential for clients on peritoneal dialysis, it is not specifically related to peritoneal dialysis care.
C. Incorrect. Peritoneal dialysis is a home-based treatment, and the client performs the dialysis exchanges themselves. There is no need for frequent visits to the dialysis center.
D. Incorrect. Pain medication is not typically needed before starting a peritoneal dialysis exchange, as the procedure itself is not painful. Proper technique and sterile care are the main focus of peritoneal dialysis education.
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