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 A

Explanation

A. This statement is correct. Living donors undergo a comprehensive physical and psychological evaluation to ensure they are in good health and at minimal risk for complications after the surgery.

B. This statement is incorrect. While genetic matching can be considered in some cases, it is not the primary factor in the evaluation process for living donors.

C. This statement is incorrect. Living donors can be unrelated individuals, such as friends or even altruistic donors, as long as they meet the necessary health criteria.

D. This statement is incorrect. Blood type compatibility is essential for a successful transplant, but it is not the only consideration in the evaluation process for living donors.

A. Instruct the client to avoid adhering strictly to the dialysis schedule to prevent burnout. B. Encourage the client to skip dialysis sessions if they feel too fatigued. C. Teach the client how to recognize and report signs of infection or complications. D. Advise the client to avoid monitoring their fluid and dietary intake.

Correct Answer is C

Explanation

A. Instructing the client to avoid adhering strictly to the dialysis schedule can be detrimental to their health and may lead to complications associated with missed treatments.

B. Encouraging the client to skip dialysis sessions is not appropriate as it can worsen their condition and lead to serious health consequences.

C. This is the correct answer. Recognizing and reporting signs of infection or complications is crucial for clients on dialysis. Early detection and management of potential issues can help prevent further complications and ensure the client's well-being.

D. Advising the client to avoid monitoring their fluid and dietary intake can lead to fluid overload and worsen their ESRD condition.

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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 nurse is discussing living donor kidney transplantation with a client who has a family member willing to donate a kidney. The client expresses concerns about the potential risks to the living donor. What should the nurse explain to the client about the evaluation process for living donors?

Correct Answer is A

Explanation

A nurse is providing discharge education to a client with ESRD who will require ongoing dialysis treatments. The client expresses concern about how they will manage their condition at home. What should the nurse include in the discharge teaching to promote effective self-care?

Correct Answer is C

Explanation

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?

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

A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?

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 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?

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?

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