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. Encouraging the client to ignore their financial situation does not address their distress and may hinder them from seeking appropriate financial support.

B. This is the correct answer. Referring the client to a financial counselor can help them explore financial assistance options, budgeting strategies, and potential resources to alleviate their financial difficulties.

C. Suggesting the client borrow money from friends or family may not be a practical solution, and it does not address the root cause of the client's financial distress.

D. While it may be true that financial struggles are common in ESRD, simply acknowledging this fact does not offer practical solutions or support to the client in managing their financial difficulties.

A. "Increasing your fluid intake can help improve kidney function." B. "Avoiding medications like NSAIDs (nonsteroidal anti-inflammatory drugs) can protect your kidneys." C. "Regularly consuming foods high in potassium can help maintain kidney health." D. "Engaging in high-intensity exercise can improve your kidney function."

Correct Answer is B

Explanation

A. This is incorrect. While adequate fluid intake is essential for kidney health, increasing fluid intake is not a solution for worsening kidney function. The client should follow the healthcare provider's recommendations for fluid intake based on their kidney function and medical history.

B. This is correct. NSAIDs, such as ibuprofen and naproxen, can be harmful to the kidneys, especially when used for extended periods or in high doses. Avoiding these medications can help protect the kidneys and prevent further damage, especially in individuals with chronic kidney disease.

C. This is incorrect. Regularly consuming foods high in potassium can be detrimental to individuals with compromised kidney function. High potassium levels can be harmful to the kidneys, and clients with kidney disease may need to restrict their potassium intake to protect their kidneys.

D. This is incorrect. High-intensity exercise may not be suitable for all individuals with kidney disease, and the client should consult their healthcare provider before engaging in any exercise program. While regular physical activity can be beneficial for overall health, the type and intensity of exercise should be individualized based on the client's medical condition and fitness level.

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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?

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Naxlex Comprehensive Predictor Exams

A client with ESRD is experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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