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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Correct. Phosphate binders are most effective when taken with meals because they bind to dietary phosphorus, preventing its absorption in the digestive tract.

B. Incorrect. While constipation can be a side effect of some phosphate binders, drinking plenty of fluids is not directly related to this issue.

C. Incorrect. Phosphate binders should be taken with meals, and calcium supplements should be taken separately to prevent interactions between the two medications.

D. Incorrect. Phosphate binders do not typically lower potassium levels, and monitoring potassium intake is not specifically related to their use.

A. Increase consumption of dairy products high in potassium. B. Include more fruits and vegetables in the diet. C. Limit the intake of nuts and seeds. D. Replace red meat with poultry in meals.

Correct Answer is C

Explanation

A. Incorrect. Dairy products are high in potassium and should be limited in clients at risk for hyperkalemia.

B. Incorrect. Fruits and vegetables are also high in potassium and should be limited in clients with chronic renal failure and hyperkalemia risk.

C. Correct. Nuts and seeds are rich sources of potassium and should be restricted in the diet of clients at risk for hyperkalemia.

D. Incorrect. Poultry is a good protein source, but the type of protein is not the main concern for clients at risk for hyperkalemia; it is the overall potassium content of the diet that needs to be reduced.

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A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure is prescribed phosphate binders. What should the nurse include in the client's education about taking phosphate binders?

Correct Answer is A

Explanation

A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?

Correct Answer is C

Explanation

A client with chronic renal failure asks the nurse why they need to limit their dietary protein intake. What is the nurse's best response?

A nurse is providing a community education session about the risk factors for chronic renal failure. Which lifestyle factor should the nurse emphasize as a modifiable risk factor for kidney disease?

A client with chronic renal failure is experiencing severe anemia. Which laboratory finding should the nurse expect in this client?

A nurse is caring for a client with chronic renal failure who complains of "pins and needles" sensation in their hands and feet. What should the nurse recognize as the possible cause of this symptom?

A client with chronic renal failure is experiencing anorexia and nausea. What is the nurse's priority action?

A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports experiencing cloudy dialysate drainage. What should the nurse do first?

A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?

A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?