A client with chronic renal failure is concerned about the discomfort associated with the GFR test. What should the nurse do to address the client's concern?

Administer pain medication before the test.

Explain that the GFR test is painless and non-invasive.

Offer the client relaxation techniques to use during the test.

Reassure the client that any discomfort will be brief and tolerable.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Pain medication is not typically administered for a GFR test as the test itself is not painful.

B. Correct. The GFR test is painless and non-invasive. It involves a blood test to measure creatinine levels and does not cause discomfort.

C. Incorrect. While relaxation techniques can be helpful for other procedures, they are not necessary for the GFR test as it does not cause discomfort.

D. Incorrect. Reassuring the client about the brief and tolerable nature of discomfort would be misleading, as the GFR test does not cause discomfort.

QUESTIONS

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Correct Answer is B

Explanation

A. Incorrect. While dietary modifications are often necessary in chronic renal failure, this response does not address the client's concerns about lifestyle impact.

B. Correct. Hemodialysis requires a significant time commitment, and clients must plan their activities around the dialysis schedule. It is important for the client to understand the need for regular dialysis sessions to manage their condition effectively.

C. Incorrect. While hemodialysis does require regular sessions, it should not necessarily limit a client's ability to travel or participate in social events. Many individuals on hemodialysis can adjust their activities and still engage in meaningful experiences.

D. Incorrect.

Physical activity is generally encouraged in clients with chronic renal failure, as it contributes to overall well-being. Hemodialysis may increase energy levels and improve the client's ability to engage in physical activity.

A. To reduce calcium absorption and prevent kidney stone formation. B. To decrease phosphate levels and prevent hyperphosphatemia. C. To improve iron absorption and manage anemia. D. To increase potassium excretion and prevent hyperkalemia.

Correct Answer is B

Explanation

A. Incorrect. Phosphate binders are not used to reduce calcium absorption. They are specifically prescribed to control phosphate levels in the blood.

B. Correct. Phosphate binders are medications that bind to dietary phosphorus in the digestive tract, preventing its absorption and reducing phosphate levels in the blood. This helps manage hyperphosphatemia, a common complication in chronic renal failure.

C. Incorrect. Phosphate binders do not improve iron absorption or manage anemia. They are not related to iron metabolism.

D. Incorrect. Phosphate binders do not affect potassium excretion. They are specific to phosphate control in the body and do not impact potassium levels.

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A client with chronic renal failure is concerned about the discomfort associated with the GFR test. What should the nurse do to address the client's concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure is prescribed hemodialysis three times a week. The client expresses concerns about the potential impact on their lifestyle. What is the nurse's best response?

Correct Answer is B

Explanation

A nurse is caring for a client with chronic renal failure who is prescribed phosphate binders. What is the rationale for administering phosphate binders to this client?

Correct Answer is B

Explanation

A nurse is assessing a client's risk factors for chronic renal failure. Which medical condition should the nurse recognize as a significant risk factor for kidney disease?

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