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 C

Explanation

A. This is incorrect. Administering a bolus of IV fluid may worsen fluid overload and electrolyte imbalances in the client with ESRD. It is not an appropriate intervention for muscle cramps and twitching.

B. This is incorrect. Vigorous physical exercise may exacerbate muscle cramps and twitching in clients with ESRD. Encouraging moderate physical activity is more appropriate.

C. This is correct. Muscle cramps and twitching in clients with ESRD are often associated with elevated phosphate levels in the blood. Phosphate-binding medications can help reduce phosphate levels and alleviate these symptoms.

D. This is incorrect. While dietary protein intake may need to be adjusted for clients with ESRD, restricting protein intake to minimal levels can lead to malnutrition and other complications. It is not an appropriate intervention for muscle cramps and twitching.

A. "The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis." B. "Dialysis can only be performed in a hospital setting using machines and filters." C. "There is only one type of dialysis, which involves removing excess fluids through a catheter." D. "Dialysis is not recommended for ESRD; other treatment options should be explored."

Correct Answer is A

Explanation

A. This statement is correct. The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis. Peritoneal dialysis uses the peritoneal cavity as a natural filter, and intermittent hemodialysis is performed using a machine to filter the blood.

B. This statement is incorrect. Dialysis can be performed both in a hospital setting and at home, depending on the type of dialysis chosen by the client and their healthcare provider.

C. This statement is incorrect. There are two main types of dialysis, as mentioned in option A, not just one.

D. This statement is incorrect. Dialysis is a common and effective treatment option for ESRD when kidney function has significantly declined. It can improve the quality of life and extend survival for many clients with ESRD.

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

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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 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?

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 receiving hemodialysis. The client asks the nurse about the purpose of this treatment. Which response by the nurse is accurate?

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

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 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 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?