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 C

Explanation

A. This is not directly related to the client's successful home-based peritoneal dialysis. While companionship is essential for many clients, it is not a critical factor for dialysis treatment.

B. This is not the most appropriate factor to assess for home-based peritoneal dialysis. Availability of transportation is crucial for clients who may need to travel for hemodialysis sessions, not for clients undergoing peritoneal dialysis at home.

C. This is correct. Access to a reliable electricity source is crucial for home-based peritoneal dialysis since the peritoneal dialysis machine requires electricity to function properly. The machine helps with the exchange of dialysate, which is necessary for effective treatment.

D. This is not directly related to home-based peritoneal dialysis. While proximity to a local hospital or medical facility is always important for any client, it is not a primary factor for choosing home-based peritoneal dialysis as a treatment option.

Questions

A. "You should try to ignore these feelings and focus on your dialysis treatments." B. "It's normal to feel this way. Consider joining a support group to connect with others who are going through similar experiences." C. "You need to accept that these feelings are part of having ESRD and try to be more positive." D. "You should talk to your family less about your feelings to avoid burdening them."

Correct Answer is B

Explanation

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.

View Question and Answer

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

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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?

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 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 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 caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

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 is experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

A nurse is educating a client with ESRD about the importance of adhering to the prescribed medication regimen. The client asks why they need to take phosphate binders. Which response by the nurse is correct?