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 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.

A. "Iron supplements can help improve your kidney function and slow down the progression of ESRD." B. "Taking iron supplements will help prevent bone fractures and improve bone health." C. "Iron supplements can improve your red blood cell production and treat anemia." D. "You need to take iron supplements to prevent dangerous blood clots."

Correct Answer is C

Explanation

A. This statement is incorrect. Iron supplements do not directly improve kidney function or slow down the progression of ESRD.

B. This statement is incorrect. While adequate calcium and vitamin D are essential for bone health, iron supplements are not primarily used for this purpose.

C. This statement is correct. Iron supplements are prescribed to clients with ESRD experiencing anemia due to decreased red blood cell production. Iron is necessary for the production of hemoglobin, the protein responsible for carrying oxygen in the blood. Supplementing with iron can help improve red blood cell production and alleviate anemia symptoms.

D. This statement is incorrect. Iron supplements are not specifically used to prevent dangerous blood clots.

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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?

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Naxlex Comprehensive Predictor Exams

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 nurse is caring for a client with ESRD who is experiencing anemia. The client asks why they need to take iron supplements as part of their treatment. Which response by the nurse is correct?

Correct Answer is C

Explanation

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?

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 nurse is providing education to a client with ESRD about dietary restrictions related to their condition. The client asks why they need to limit their potassium intake. Which response by the nurse is correct?

A client with ESRD is expressing frustration and lack of motivation in adhering to their treatment plan. The nurse recognizes the importance of motivation in managing the disease effectively. What intervention should the nurse implement to enhance the client's motivation?

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 has started hemodialysis and is struggling with the treatment's lifestyle disruptions and the impact on their family relationships. The client expresses feelings of guilt and burdening their family. Which response by the nurse is appropriate?

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?

A nurse is providing education to a client recently diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What does End-Stage Renal Disease mean?" Which response by the nurse is accurate?