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?

"Increasing your fluid intake can help improve kidney function."

"Avoiding medications like NSAIDs (nonsteroidal anti-inflammatory drugs) can protect your kidneys."

"Regularly consuming foods high in potassium can help maintain kidney health."

"Engaging in high-intensity exercise can improve your kidney function."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

A. This statement is incorrect. While all surgeries carry some risk, a preemptive transplant is not associated with increased risks of surgical complications and infection compared to a transplant after dialysis initiation.

B. This statement is incorrect. Regardless of the timing of the transplant, recipients will need to take immunosuppressive medications to prevent rejection.

C. This statement is correct. Preemptive transplantation can offer better long-term outcomes, including improved survival rates and a higher likelihood of success compared to a transplant performed after dialysis initiation.

D. This statement is incorrect. Preemptive transplantation is considered as an option for eligible candidates who have ESRD but have not yet started dialysis.

A. Prevent the body from rejecting the transplanted kidney B. Reduce the risk of infections in the donor and recipient C. Avoid complications during the surgery and promote wound healing D. Improve the function of the native kidneys and minimize the need for dialysis

Correct Answer is A

Explanation

A. This statement is correct. Immunosuppressive medications are crucial after a renal transplant to prevent the body's immune system from attacking and rejecting the transplanted kidney.

B. This statement is not directly related to the need for immunosuppressive medications. While infection prevention is essential, immunosuppressive medications serve a different purpose.

C. This statement is incorrect. Immunosuppressive medications are not directly related to complications during surgery or wound healing.

D. This statement is incorrect. Immunosuppressive medications are not intended to improve the function of native kidneys. Their primary purpose is to prevent rejection of the transplanted kidney.

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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?

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Naxlex Comprehensive Predictor Exams

A client is considering a preemptive renal transplant before requiring dialysis. The client asks the nurse about the advantages of this approach. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A client with ESRD is scheduled for a renal transplant. The nurse should provide preoperative education about the importance of compliance with immunosuppressive medications following the surgery to:

Correct Answer is A

Explanation

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