A client with End-Stage Renal Disease (ESRD. is feeling overwhelmed and anxious about the treatment and lifestyle changes. The nurse notices the client isolating themselves and avoiding interactions with others. What should the nurse do to provide appropriate support?

Encourage the client to share their feelings with friends and family to gain support.

Suggest the client attend a support group to connect with others facing similar challenges.

Advise the client to limit social interactions to avoid stress.

Reassure the client that feeling overwhelmed is normal and part of the disease process.

Answer and Explanation

The Correct Answer is B

A. Encouraging the client to share their feelings with friends and family is essential, but connecting with individuals experiencing similar challenges in a support group can provide the client with additional understanding and emotional support.

B. This is the correct answer. Support groups provide an opportunity for clients with ESRD to share their experiences, learn coping strategies from others, and realize they are not alone in their struggles, which can alleviate feelings of isolation and provide emotional support.

C. Advising the client to limit social interactions can exacerbate feelings of isolation and loneliness, which is not helpful in providing appropriate support.

D. While it is essential to reassure the client that feeling overwhelmed is normal, attending a support group can provide them with practical strategies for coping with these emotions.

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Correct Answer is B

Explanation

A. This is incorrect because while kidney transplantation is an essential treatment option for ESRD, it is not the only option. Dialysis (hemodialysis or peritoneal dialysis) is also a viable treatment to replace kidney function for clients who are not transplant candidates or awaiting transplantation.

B. This is correct. Dialysis is the primary treatment for ESRD, providing renal replacement therapy by removing waste products and excess fluid from the blood. Kidney transplantation is another treatment option for eligible candidates who may benefit from a functioning kidney.

C. This is incorrect because effective treatment options, such as dialysis and kidney transplantation, are available for ESRD. There is ongoing research and development in nephrology, but new therapies have not replaced the standard treatments.

D. This is incorrect because ESRD is a severe condition where the kidneys have permanently lost their ability to function, and treatment options such as dialysis or transplantation are necessary to sustain life.

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 feeling overwhelmed and anxious about the treatment and lifestyle changes. The nurse notices the client isolating themselves and avoiding interactions with others. What should the nurse do to provide appropriate support?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

A client with ESRD asks the nurse about the common symptoms they may experience. Which response by the nurse is accurate?

A client with ESRD is considering peritoneal dialysis as a renal replacement therapy. The client asks the nurse about the advantages of peritoneal dialysis. Which response by the nurse is accurate?

A nurse is caring for a client with ESRD who is experiencing depression and feelings of hopelessness. Which intervention is appropriate to provide emotional support?

A nurse is educating a client with ESRD about the importance of adhering to a renal diet. Which statement by the client indicates a need for further teaching?

A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

A nurse is assessing a client with ESRD and asks about their history of kidney stones. Which statement by the client requires further evaluation by the nurse?

A client with a history of chronic kidney disease asks the nurse about the factors that can worsen kidney function. Which response by the nurse is accurate?

A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?