A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

"You should try to ignore these feelings and focus on your dialysis treatments."

"It's normal to feel this way. Consider joining a support group to connect with others who are going through similar experiences."

"You need to accept that these feelings are part of having ESRD and try to be more positive."

"You should talk to your family less about your feelings to avoid burdening them."

Answer and Explanation

The Correct Answer is B

A. This response is not appropriate. Telling the client to ignore their feelings can invalidate their emotions and may lead to further distress.

B. This response is the correct approach. Acknowledging the client's emotions as normal and suggesting joining a support group allows the client to connect with others who can empathize with their experiences and provide emotional support.

C. This response is not helpful. Encouraging the client to be more positive dismisses their genuine feelings and does not address their emotional needs.

D. This response is not supportive. Encouraging the client to talk less to their family about their feelings can lead to feelings of isolation and may hinder the client from seeking the support they need.

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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. "The kidney will be removed from the donor's body and transported to the recipient for transplantation." B. "The donor and recipient will be in the same operating room for the simultaneous transplantation." C. "The donor's kidney will be transplanted into your lower abdomen, and your native kidneys will be removed." D. "The donor's kidney will be transplanted on the same side as your native failed kidney."

Correct Answer is C

Explanation

A. This statement is incorrect. In living donor kidney transplantation, the donor's kidney is surgically removed and transplanted directly into the recipient's body during the same surgical procedure.

B. This statement is incorrect. While both the donor and recipient will undergo surgeries simultaneously, they will be in separate operating rooms.

C. This statement is correct. During the kidney transplant, the donor's kidney is placed in the recipient's lower abdomen, and the recipient's native kidneys, if present and non-functional, may be removed or left in place, depending on the circumstances.

D. This statement is incorrect. The donor's kidney is typically transplanted into the lower abdomen on the opposite side from the recipient's native failed kidney to ensure proper blood supply and surgical access.

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A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

Nursing Test Bank

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 client with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A client with ESRD is prescribed erythropoietin-stimulating agents (ES to manage anemia. The nurse educates the client about ESA therapy. Which statement by the client indicates a need for further teaching?

A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

A client with ESRD asks the nurse about the potential complications they may face. Which response by the nurse is accurate?

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

A nurse is discussing the potential complications of renal transplantation with a client who is considering the procedure. Which complication should the nurse prioritize in the client's education?

A client with ESRD is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

A client with ESRD expresses feelings of anger and frustration about the treatment regimen and lifestyle changes. The nurse recognizes the importance of therapeutic communication to support the client effectively. Which nursing statement is most appropriate?