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 A

Explanation

A. This is correct. High blood pressure is a significant risk factor for the progression of chronic kidney disease. Regularly monitoring blood pressure and maintaining it within the recommended target range can help slow the decline in kidney function and reduce the risk of complications associated with kidney disease.

B. This is incorrect. Regular exercise and maintaining a healthy weight are generally beneficial for overall health, including cardiovascular health. However, they do not increase the risk of CKD progression. In fact, they may help improve blood pressure control and reduce the risk of kidney disease progression.

C. This is incorrect. Increasing dietary intake of sodium and protein can be harmful to individuals with kidney disease. High sodium intake can contribute to fluid retention and increased blood pressure, while excessive protein intake can place additional stress on the kidneys. Clients with CKD are often advised to follow a low-sodium and moderate-protein diet to protect kidney function.

D. This is incorrect. Smoking and regular alcohol consumption can have harmful effects on the kidneys and overall health. Smoking is a risk factor for kidney disease progression, and excessive alcohol consumption can contribute to high blood pressure and other health issues that may worsen kidney function.

A. Criticize the client's lack of compliance to increase their motivation to follow the treatment plan. B. Offer rewards and incentives to the client for adhering to their treatment regimen. C. Tell the client that adherence to the treatment plan is essential, regardless of their feelings. D. Listen to the client's concerns and collaboratively explore strategies to address barriers.

Correct Answer is D

Explanation

A. Criticizing the client's lack of compliance is not an effective approach and may lead to increased feelings of frustration and disengagement.

B. Offering rewards and incentives may not address the underlying reasons for the client's lack of motivation and may not be a sustainable strategy.

C. Telling the client that adherence is essential regardless of their feelings may not address the barriers they are experiencing and can be perceived as dismissive of their concerns.

D. This is the correct answer. Listening to the client's concerns and exploring strategies together allows the nurse to identify potential barriers to adherence and develop personalized solutions that are meaningful to the client. Collaborative goal-setting enhances the client's motivation and promotes ownership of their treatment plan.

Questions

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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 client with chronic kidney disease (CKD. asks the nurse about the risk factors that may accelerate the progression of kidney disease. Which response by the nurse is accurate?

Correct Answer is A

Explanation

A client with ESRD is expressing frustration and lack of motivation in adhering to their treatment plan. The nurse recognizes the importance of motivation in managing the disease effectively. What intervention should the nurse implement to enhance the client's motivation?

Correct Answer is D

Explanation

A client with ESRD asks the nurse about treatment options. Which statement by the nurse is accurate?

A client with ESRD is receiving hemodialysis as part of their treatment plan. The nurse educates the client about potential complications during dialysis. Which information should the nurse include in the education?

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 nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?

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?

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 nurse is providing preoperative education to a client who is scheduled for a renal transplant. The client asks about the source of the donated kidney. Which response by the nurse is accurate?