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 performed to remove waste products and excess fluids from the body, but there is a risk of fluid overload during the procedure. It is essential for the client to be monitored for signs of fluid retention, such as swelling and shortness of breath.

B. This is incorrect. Hemodialysis typically reduces fluid overload and may lead to decreased appetite and weight loss, not weight gain.

C. This is incorrect. Hemodialysis is used to manage fluid and electrolyte imbalances, including blood pressure regulation. While blood pressure may fluctuate during the dialysis procedure, it is not a common complication to increase blood pressure.

D. This is incorrect. Hemodialysis is used to regulate potassium levels in clients with ESRD, as high potassium levels can be dangerous. It is more common for potassium levels to be reduced during hemodialysis, not increased.

A. "The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis." B. "Dialysis can only be performed in a hospital setting using machines and filters." C. "There is only one type of dialysis, which involves removing excess fluids through a catheter." D. "Dialysis is not recommended for ESRD; other treatment options should be explored."

Correct Answer is A

Explanation

A. This statement is correct. The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis. Peritoneal dialysis uses the peritoneal cavity as a natural filter, and intermittent hemodialysis is performed using a machine to filter the blood.

B. This statement is incorrect. Dialysis can be performed both in a hospital setting and at home, depending on the type of dialysis chosen by the client and their healthcare provider.

C. This statement is incorrect. There are two main types of dialysis, as mentioned in option A, not just one.

D. This statement is incorrect. Dialysis is a common and effective treatment option for ESRD when kidney function has significantly declined. It can improve the quality of life and extend survival for many clients 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?

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Naxlex Comprehensive Predictor Exams

A client with ESRD is receiving hemodialysis as part of their treatment plan. The nurse educates the client about potential complications during dialysis. Which information should the nurse include in the education?

Correct Answer is A

Explanation

A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

Correct Answer is A

Explanation

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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?

A client with ESRD is considering peritoneal dialysis as a renal replacement therapy. The client asks the nurse about the advantages of peritoneal dialysis. Which response by the nurse is accurate?

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