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

"Kidney transplantation is the only treatment option available for ESRD."

"Dialysis is the primary treatment for ESRD, but kidney transplantation is an option for eligible candidates."

"There are no effective treatment options available for ESRD, but new therapies are currently under development."

"ESRD can be managed with medications and lifestyle changes, without the need for dialysis or transplantation."

Answer and Explanation

The Correct Answer is B

A. This is incorrect because while kidney transplantation is an essential treatment option for ESRD, it is not the only option. Dialysis (hemodialysis or peritoneal dialysis) is also a viable treatment to replace kidney function for clients who are not transplant candidates or awaiting transplantation.

B. This is correct. Dialysis is the primary treatment for ESRD, providing renal replacement therapy by removing waste products and excess fluid from the blood. Kidney transplantation is another treatment option for eligible candidates who may benefit from a functioning kidney.

C. This is incorrect because effective treatment options, such as dialysis and kidney transplantation, are available for ESRD. There is ongoing research and development in nephrology, but new therapies have not replaced the standard treatments.

D. This is incorrect because ESRD is a severe condition where the kidneys have permanently lost their ability to function, and treatment options such as dialysis or transplantation are necessary to sustain life.

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Correct Answer is D

Explanation

A. This is incorrect. While kidney transplantation does require the use of immunosuppressant medications to prevent organ rejection, it eliminates the need for dialysis and provides a better chance of long-term survival compared to dialysis alone.

B. This is incorrect. While there is a risk of infection after kidney transplantation, the overall risk of infection is generally higher in clients on long-term dialysis.

C. This is incorrect. Kidney transplantation is associated with improved quality of life compared to dialysis. Transplant recipients often experience increased energy, better dietary freedom, and a decreased reliance on medical appointments compared to dialysis patients.

D. This is correct. Kidney transplantation offers the best chance for long-term survival and eliminates the need for ongoing dialysis. It provides improved quality of life and potential freedom from dietary restrictions, fluid restrictions, and the time-consuming dialysis procedure.

Questions

A. Regularly inspecting the skin and exit site for signs of infection B. Limiting daily fluid intake to reduce the workload on the peritoneal membrane C. Administering subcutaneous heparin to prevent clotting within the peritoneal catheter D. Disconnecting the catheter from the drainage bag during sleep to prevent discomfort

Correct Answer is A

Explanation

A. This is correct. In CAPD, the peritoneal cavity is used as a dialysate exchange site, and an indwelling catheter remains in place. Regularly inspecting the skin and exit site for signs of infection is essential to minimize the risk of peritonitis and other complications.

B. This is not the most appropriate aspect to focus on in CAPD. Daily fluid intake is not limited in CAPD; instead, the fluid exchange process occurs multiple times throughout the day to remove waste and excess fluids from the body.

C. This is incorrect. Subcutaneous heparin is not typically used in CAPD, as it is a form of anticoagulation therapy and not a standard component of peritoneal dialysis treatment.

D. This is incorrect. The catheter should remain connected to the drainage bag at all times, even during sleep. Disconnecting the catheter can disrupt the dialysate exchange process and increase the risk of infection and other complications.

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

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Naxlex Comprehensive Predictor Exams

A client with ESRD is being evaluated for kidney transplantation. The client asks the nurse about the benefits of kidney transplantation compared to dialysis. Which response by the nurse is accurate?

Correct Answer is D

Explanation

A client with ESRD is undergoing continuous ambulatory peritoneal dialysis (CAPD. . The nurse should educate the client about which essential aspect of CAPD to minimize the risk of complications?

Correct Answer is A

Explanation

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 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 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?

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A client with a history of cardiovascular disease asks the nurse about the risk factors for developing ESRD. Which response by the nurse is accurate?

A client with ESRD is scheduled for a renal transplant. The nurse should provide preoperative education about the importance of compliance with immunosuppressive medications following the surgery to:

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