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A client with chronic renal failure is prescribed erythropoietin-stimulating agents (ES

to manage anemia. What should the nurse include in the client's education about ESA therapy?A. "You should report any symptoms of dehydration or thirst to your healthcare provider."

"Monitor your blood pressure regularly while taking ESA to ensure it remains stable."

"You may experience increased appetite and weight gain with ESA therapy."

"Be cautious about engaging in strenuous activities while on ESA to prevent bleeding."

Answer and Explanation

The Correct Answer is B

A. Incorrect. ESA therapy is not directly related to dehydration or thirst. It is used to manage anemia by stimulating red blood cell production.

B. Correct. ESA therapy can increase red blood cell production, which may elevate blood pressure. Regular blood pressure monitoring is essential to ensure it remains within a safe range.

C. Incorrect. Increased appetite and weight gain are not typical side effects of ESA therapy.

D. Incorrect. ESA therapy is not associated with an increased risk of bleeding or restrictions on engaging in strenuous activities. It is used to manage anemia and improve overall blood cell counts.

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Correct Answer is A

Explanation

A. Correct. Phosphate binders are most effective when taken with meals because they bind to dietary phosphorus, preventing its absorption in the digestive tract.

B. Incorrect. While constipation can be a side effect of some phosphate binders, drinking plenty of fluids is not directly related to this issue.

C. Incorrect. Phosphate binders should be taken with meals, and calcium supplements should be taken separately to prevent interactions between the two medications.

D. Incorrect. Phosphate binders do not typically lower potassium levels, and monitoring potassium intake is not specifically related to their use.

A. The client's kidneys are functioning normally. B. The client has mild kidney impairment. C. The client has moderate kidney dysfunction. D. The client's kidneys are severely damaged.

Correct Answer is B

Explanation

A. Incorrect. While a GFR value of 60 mL/min/1.73m² is within the normal range for some populations, it is considered below the normal range for adults and indicates some level of kidney dysfunction.

B. Correct. A GFR value of 60 mL/min/1.73m² indicates mild kidney impairment. While it may not be severely compromised, it still represents some level of kidney dysfunction.

C. Incorrect. A GFR value of 60 mL/min/1.73m² is not considered moderate kidney dysfunction. It is within the mild impairment range.

D. Incorrect. A GFR value of 60 mL/min/1.73m² is not indicative of severely damaged kidneys. Severe kidney dysfunction would have a much lower GFR value.

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A client with chronic renal failure is prescribed erythropoietin-stimulating agents (ES

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure is prescribed phosphate binders. What should the nurse include in the client's education about taking phosphate binders?

Correct Answer is A

Explanation

A nurse is caring for a client with chronic renal failure. The client's GFR test result is 60 mL/min/1.73m². How should the nurse interpret this result?

Correct Answer is B

Explanation

A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?

A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?

A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?

A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 50 mL/min/1.73m². How should the nurse interpret this result?

A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports cloudy dialysate effluent during an exchange. What should the nurse do first?

A client with chronic renal failure asks the nurse about dietary restrictions. What should the nurse emphasize as a key dietary modification for managing the condition?

A nurse is providing a community education session about the risk factors for chronic renal failure. Which lifestyle factor should the nurse emphasize as a modifiable risk factor for kidney disease?

A client with chronic renal failure is experiencing periorbital edema and swelling of the ankles and feet. Which complication should the nurse suspect based on these clinical manifestations?