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

"ESRD often presents with increased urine output and excessive thirst."

"Clients with ESRD may experience swelling of the legs and ankles due to fluid retention."

"You may notice improved appetite and weight gain as common symptoms of ESRD."

"Clients with ESRD typically have normal blood pressure and no cardiovascular symptoms."

Answer and Explanation

The Correct Answer is B

A. This is incorrect. ESRD leads to decreased urine output and excessive thirst due to impaired kidney function, not increased urine output.

B. This is correct. Swelling of the legs and ankles, also known as edema, is a common symptom of ESRD. Kidney failure causes fluid retention and electrolyte imbalances, leading to edema in the lower extremities and other body parts.

C. This is incorrect. Clients with ESRD often experience poor appetite and unintended weight loss due to the accumulation of waste products in the body.

D. This is incorrect. ESRD is often associated with hypertension and other cardiovascular complications. Clients with ESRD may experience symptoms such as high blood pressure, shortness of breath, and chest pain.

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Correct Answer is B

Explanation

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.

A. "The donated kidney will be taken from a deceased donor." B. "The donated kidney will be taken from an unrelated living donor." C. "The donated kidney will be taken from a healthy sibling." D. "The donated kidney will be taken from a genetically matched family member."

Correct Answer is A

Explanation

A. This statement is correct. Renal transplantation can involve kidneys from deceased donors who have chosen to donate their organs after their passing.

B. This statement is incorrect. While living donors can donate kidneys, in this scenario, the kidney is from a deceased donor.

C. This statement is incorrect. The donor could be deceased or living, but the kidney in this scenario is from a deceased donor.

D. This statement is incorrect. While genetic matching can be considered in living donor scenarios, it does not apply to deceased donor situations.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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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?

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A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

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 experiencing anxiety related to the uncertainties of managing their condition and the need for frequent medical visits. The client asks the nurse for strategies to reduce anxiety levels. What should the nurse recommend?

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?