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 A

Explanation

A. This is correct. Hemodialysis is a renal replacement therapy that uses a dialysis machine to remove waste products, toxins, and excess fluid from the bloodstream when the kidneys are no longer able to do so effectively.

B. This is incorrect. While hemodialysis may have some effect on blood pressure, its primary purpose is to replace kidney function in filtering waste products

and maintaining fluid balance.

C. This is incorrect. Hemodialysis does not stimulate the kidneys to produce more urine. It directly filters the blood to remove toxins and fluid.

D. This is incorrect. Hemodialysis does not involve surgical replacement of damaged kidneys. It is a non-surgical procedure performed in a dialysis center using a dialysis machine.

A. "Renal transplantation is a temporary treatment, and you may need another transplant in a few years." B. "Renal transplantation eliminates the need for lifelong immunosuppressive medications." C. "Renal transplantation provides immediate relief from symptoms and restores normal kidney function." D. "Renal transplantation is only suitable for clients with a genetic predisposition to kidney diseases."

Correct Answer is C

Explanation

A. This statement is incorrect. Renal transplantation is not always temporary; it can provide long-term relief and improve the client's quality of life.

B. This statement is incorrect. While renal transplantation is beneficial, recipients will need to take lifelong immunosuppressive medications to prevent organ rejection.

C. This statement is correct. Renal transplantation is a treatment that can provide immediate relief from the symptoms of ESRD and restore normal kidney function, allowing the client to lead a more normal life.

D. This statement is incorrect. Renal transplantation is not limited to clients with a specific genetic predisposition; it is a treatment option considered for any eligible client with ESRD.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD is receiving hemodialysis. The client asks the nurse about the purpose of this treatment. Which response by the nurse is accurate?

Correct Answer is A

Explanation

A client with end-stage renal disease (ESRD. is considering renal transplantation as a treatment option. The client asks the nurse about the advantages of this procedure. Which response by the nurse is accurate?

Correct Answer is C

Explanation

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