A client with a history of cardiovascular disease asks the nurse about the risk factors for developing ESRD. Which response by the nurse is accurate?

"Having a history of cardiovascular disease does not increase your risk of developing ESRD."

"Chronic use of over-the-counter medications like antacids can increase the risk of ESRD."

"Cardiovascular disease is a significant risk factor for the development of ESRD."

"Having a family history of gout can increase your risk of developing ESRD."

Answer and Explanation

The Correct Answer is C

A. This is incorrect. A history of cardiovascular disease can increase the risk of developing ESRD. Cardiovascular disease and kidney disease often share common risk factors, such as hypertension and diabetes, which can contribute to the progression of both conditions.

B. This is incorrect. While the chronic use of certain medications can potentially harm the kidneys, it is not a common risk factor for the development of ESRD. Medications like NSAIDs are more directly associated with kidney injury and acute kidney damage rather than the development of ESRD.

C. This is correct. Cardiovascular disease is a significant risk factor for the development of ESRD. Chronic kidney disease and cardiovascular disease often coexist and share common risk factors. Cardiovascular disease can lead to impaired blood flow to the kidneys, contributing to kidney damage and dysfunction.

D. This is incorrect. While having a family history of gout can be associated with an increased risk of kidney stones and kidney damage, it is not a common risk factor for the development of ESRD.

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Correct Answer is B

Explanation

A. This intervention is not appropriate. Discouraging the client from expressing negative emotions can invalidate their feelings and may lead to a lack of emotional support.

B. This intervention is the correct approach. Validating the client's feelings and providing a nonjudgmental environment can help the client feel heard and understood, fostering a therapeutic relationship.

C. This intervention is not helpful. Avoiding the client's feelings does not address their emotional needs and may make the client feel isolated.

D. This intervention is not appropriate. Encouraging the client to focus solely on the physical benefits of dialysis ignores the emotional impact of the treatment and does not address the client's feelings of anger and frustration.

A. "Phosphate binders help protect your kidneys from further damage and slow down the progression of ESRD." B. "Taking phosphate binders can improve calcium absorption and promote bone health." C. "Phosphate binders are prescribed to control your blood pressure and reduce the risk of heart complications." D. "You need to take phosphate binders to reduce the level of phosphorus in your blood and prevent bone and muscle problems."

Correct Answer is D

Explanation

A. This statement is incorrect. While phosphate binders may be prescribed to manage phosphorus levels, they do not protect the kidneys or slow down the progression of ESRD.

B. This statement is not the primary reason for prescribing phosphate binders. While they may influence calcium absorption, their main role is to control phosphorus levels.

C. This statement is not the main purpose of phosphate binders. While managing phosphorus levels may have some effect on blood pressure and heart health, the primary rationale for using phosphate binders is to reduce the elevated phosphorus levels in the blood.

D. This statement is correct. In clients with ESRD, impaired kidney function can lead to increased phosphorus levels in the blood (hyperphosphatemiA. . Phosphate binders are prescribed to lower the absorption of dietary phosphorus, thus reducing the phosphorus level in the blood. Maintaining appropriate phosphorus levels is essential for bone and muscle health and can help prevent complications associated with hyperphosphatemia.

Questions

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A client with a history of cardiovascular disease asks the nurse about the risk factors for developing ESRD. Which response by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with ESRD who recently started dialysis. The client has expressed feelings of anger and frustration about the lifestyle changes required for treatment. Which nursing intervention is appropriate in this situation?

Correct Answer is B

Explanation

A nurse is educating a client with ESRD about the importance of adhering to the prescribed medication regimen. The client asks why they need to take phosphate binders. Which response by the nurse is correct?

Correct Answer is D

Explanation

A client with End-Stage Renal Disease (ESRD. is feeling overwhelmed and anxious about the treatment and lifestyle changes. The nurse notices the client isolating themselves and avoiding interactions with others. What should the nurse do to provide appropriate support?

A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?

A client with ESRD is undergoing continuous ambulatory peritoneal dialysis (CAPD. . The nurse should educate the client about which essential aspect of CAPD to minimize the risk of complications?

A client with ESRD is experiencing anxiety related to the uncertainties of managing their condition and the need for frequent medical visits. The client asks the nurse for strategies to reduce anxiety levels. What should the nurse recommend?

A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

A client with a history of chronic kidney disease asks the nurse about the factors that can worsen kidney function. Which response by the nurse is accurate?

A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?