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?

"Renal transplantation is a temporary treatment, and you may need another transplant in a few years."

"Renal transplantation eliminates the need for lifelong immunosuppressive medications."

"Renal transplantation provides immediate relief from symptoms and restores normal kidney function."

"Renal transplantation is only suitable for clients with a genetic predisposition to kidney diseases."

Answer and Explanation

The Correct Answer is C

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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Correct Answer is B

Explanation

A. This intervention is not appropriate. Discouraging the client from expressing negative emotions can invalidate their feelings and may lead to a lack of emotional support.

B. This intervention is the correct approach. Validating the client's feelings and providing a nonjudgmental environment can help the client feel heard and understood, fostering a therapeutic relationship.

C. This intervention is not helpful. Avoiding the client's feelings does not address their emotional needs and may make the client feel isolated.

D. This intervention is not appropriate. Encouraging the client to focus solely on the physical benefits of dialysis ignores the emotional impact of the treatment and does not address the client's feelings of anger and frustration.

A. "ESRD is primarily caused by acute kidney injury (AKI) resulting from a sudden decrease in kidney function." B. "The most common cause of ESRD is uncontrolled hypertension and diabetes mellitus." C. "ESRD is usually caused by kidney stones that obstruct the flow of urine." D. "Genetic factors and family history are the primary causes of ESRD."

Correct Answer is B

Explanation

A. This is incorrect. While acute kidney injury (AKI) can contribute to the development of ESRD, it is not the primary cause. ESRD typically results from chronic kidney diseases that progress over time, such as diabetes and hypertension.

B. This is correct. The most common causes of ESRD are diabetes mellitus and uncontrolled hypertension. These conditions can lead to chronic kidney disease and eventual kidney failure if not well managed.

C. This is incorrect. While kidney stones can cause kidney damage and contribute to kidney disease, they are not a common cause of ESRD.

D. This is incorrect. While genetic factors and family history may play a role in some cases of kidney disease, they are not the primary causes of ESRD. ESRD is most commonly associated with chronic conditions like diabetes and hypertension.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with ESRD who recently started dialysis. The client has expressed feelings of anger and frustration about the lifestyle changes required for treatment. Which nursing intervention is appropriate in this situation?

Correct Answer is B

Explanation

A nurse is providing education to a client diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What are the common causes of ESRD?" Which response by the nurse is accurate?

Correct Answer is B

Explanation

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