A client with ESRD asks the nurse about the potential complications they may face. Which response by the nurse is accurate?

"ESRD can lead to high blood pressure and increased risk of heart disease."

"Clients with ESRD are not at risk for bone fractures or calcium imbalances."

"You may experience improved vision and eye health as a complication of ESRD."

"ESRD does not affect the gastrointestinal system, so there are no related complications."

Answer and Explanation

The Correct Answer is A

A. This is correct. ESRD often leads to hypertension and increased cardiovascular risk due to fluid retention, electrolyte imbalances, and activation of the renin-angiotensin-aldosterone system.

B. This is incorrect. Clients with ESRD are at increased risk for bone fractures and calcium imbalances due to impaired calcium and phosphorus metabolism, leading to bone demineralization and increased fracture risk.

C. This is incorrect. ESRD is not associated with improved vision or eye health; in fact, clients with ESRD may experience eye complications, such as retinopathy, due to the effects of diabetes and hypertension on the retina.

D. This is incorrect. ESRD can affect the gastrointestinal system, leading to complications such as nausea, vomiting, and gastrointestinal bleeding due to the accumulation of waste products and electrolyte imbalances.

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Correct Answer is B

Explanation

A. This statement is incorrect. Dialysis does not regenerate damaged kidney tissues; it only serves to replace some kidney functions that are lost in ESRD.

B. This statement is correct. Dialysis is a treatment that helps to remove waste products and excess fluids from the body when the kidneys are unable to perform these functions adequately due to ESRD.

C. This statement is incorrect. Dialysis is not a kidney transplant procedure; it is a method of artificially filtering the blood to perform some functions of the kidneys.

D. This statement is incorrect. Dialysis is not a medication-based treatment; it is a mechanical process to cleanse the blood outside the body.

A. "Hemodialysis can cause fluid overload and may lead to swelling and shortness of breath." B. "You may experience increased appetite and weight gain after each hemodialysis session." C. "Hemodialysis can increase your blood pressure, so it's essential to monitor it regularly." D. "During hemodialysis, your potassium levels may drop, leading to muscle weakness."

Correct Answer is A

Explanation

A. This is correct. Hemodialysis is performed to remove waste products and excess fluids from the body, but there is a risk of fluid overload during the procedure. It is essential for the client to be monitored for signs of fluid retention, such as swelling and shortness of breath.

B. This is incorrect. Hemodialysis typically reduces fluid overload and may lead to decreased appetite and weight loss, not weight gain.

C. This is incorrect. Hemodialysis is used to manage fluid and electrolyte imbalances, including blood pressure regulation. While blood pressure may fluctuate during the dialysis procedure, it is not a common complication to increase blood pressure.

D. This is incorrect. Hemodialysis is used to regulate potassium levels in clients with ESRD, as high potassium levels can be dangerous. It is more common for potassium levels to be reduced during hemodialysis, not increased.

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A client with ESRD asks the nurse about the potential complications they may face. Which response by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the purpose of dialysis as a treatment for ESRD. Which statement by the client indicates a correct understanding of dialysis?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

A client with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. 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?

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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 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 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?

A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?