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 statement is reassuring. The client's history of kidney stones in the past does not directly contribute to their current diagnosis of ESRD if the stones were successfully treated. However, it may still be relevant to their overall kidney health and risk factors.

B. This statement is concerning. Family history of kidney stones and a sister with ESRD may indicate a genetic predisposition to kidney disease and warrants further evaluation.

C. This statement is positive. Changing the diet to avoid kidney stones is a proactive step to protect kidney health and reduce the risk of kidney damage.

D. This statement requires further evaluation by the nurse. While hypertension and diabetes are well-known risk factors for ESRD, the absence of kidney stones does not rule out other potential causes or risk factors for the client's current diagnosis.

A. "Dialysis helps to regenerate damaged kidney tissues and restore kidney function." B. "Dialysis removes waste products and excess fluids from my body since my kidneys can't do it." C. "Dialysis is a surgical procedure to transplant a healthy kidney from a donor into my body." D. "Dialysis involves taking medications to reduce the symptoms of kidney failure."

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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 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 providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

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 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?

A client with end-stage renal disease (ESRD. is considering renal transplantation as a treatment option. The client asks the nurse about the advantages of this procedure. Which response by the nurse is accurate?

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?

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?