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?
"Hemodialysis will require you to follow a strict dietary regimen."
"You will need to plan your activities around the dialysis schedule."
"Hemodialysis will limit your ability to travel and participate in social events."
"You may need to restrict your physical activity to conserve energy."
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. In chronic renal failure, limiting protein intake is essential to reduce the workload on the kidneys and slow the progression of kidney damage.
B. Incorrect. Increasing sodium intake is not recommended in chronic renal failure, as it can lead to fluid retention and hypertension.
C. Incorrect. While potassium intake may need to be adjusted based on blood levels, there is no indication to consume potassium-rich foods to prevent deficiency.
D. Incorrect. Fluid restrictions are typically necessary in chronic renal failure to prevent fluid overload and related complications.
Correct Answer is B
Explanation
A. Incorrect. Applying a heating pad may provide temporary relief for muscle cramps, but it does not address the underlying cause.
B. Correct. Muscle cramps in clients with chronic renal failure can be caused by dehydration and electrolyte imbalances. Encouraging the client to increase fluid intake can help alleviate muscle cramps and maintain adequate hydration.
C. Incorrect. While calcium supplements may be prescribed in certain situations, they are not the first-line intervention for muscle cramps in chronic renal failure.
D. Incorrect. Educating the client about potassium-rich foods is important for managing potassium levels, but it is not the priority in this situation. Muscle cramps are more likely related to fluid and electrolyte imbalances rather than potassium intake.
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