A client with ESRD expresses feelings of anger and frustration about the treatment regimen and lifestyle changes. The nurse recognizes the importance of therapeutic communication to support the client effectively. Which nursing statement is most appropriate?

"You need to accept your condition and follow the treatment plan without resistance."

"It's essential to stay positive and avoid focusing on negative emotions."

"Tell me more about your feelings. I'm here to listen and understand what you're going through."

"Try to think about the positive aspects of your life and avoid dwelling on the negative."

Answer and Explanation

The Correct Answer is C

A. Telling the client they must accept their condition without resistance may invalidate their emotions and not allow them to express their feelings freely.

B. While positivity is essential, avoiding focusing on negative emotions may hinder therapeutic communication and the client's ability to express their true feelings.

C. This is the correct answer. Therapeutic communication involves active listening and providing a safe space for the client to express their feelings openly. The nurse's statement acknowledges the client's emotions and offers support.

D. Encouraging the client to think about positive aspects and avoid dwelling on the negative may not allow the client to process and express their feelings genuinely.

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Correct Answer is A

Explanation

A. This is correct. Polycystic kidney disease (PKD. is a genetic disorder, and individuals with a family history of PKD have a higher risk of developing the condition. It can be inherited from one or both parents, and the mutated gene responsible for PKD affects the development of fluid-filled cysts in the kidneys.

B. This is incorrect. While exposure to certain environmental toxins can contribute to kidney damage, it is not the cause of PKD.

C. This is incorrect. PKD is not an autoimmune disorder; it is a genetic disorder characterized by the growth of cysts in the kidneys.

D. This is incorrect. PKD is not caused by chronic kidney infections; it is a genetic condition that results in the formation of cysts within the kidney tissue.

A. "Having a history of cardiovascular disease does not increase your risk of developing ESRD." B. "Chronic use of over-the-counter medications like antacids can increase the risk of ESRD." C. "Cardiovascular disease is a significant risk factor for the development of ESRD." D. "Having a family history of gout can increase your risk of developing ESRD."

Correct Answer is C

Explanation

A. This is incorrect. A history of cardiovascular disease can increase the risk of developing ESRD. Cardiovascular disease and kidney disease often share common risk factors, such as hypertension and diabetes, which can contribute to the progression of both conditions.

B. This is incorrect. While the chronic use of certain medications can potentially harm the kidneys, it is not a common risk factor for the development of ESRD. Medications like NSAIDs are more directly associated with kidney injury and acute kidney damage rather than the development of ESRD.

C. This is correct. Cardiovascular disease is a significant risk factor for the development of ESRD. Chronic kidney disease and cardiovascular disease often coexist and share common risk factors. Cardiovascular disease can lead to impaired blood flow to the kidneys, contributing to kidney damage and dysfunction.

D. This is incorrect. While having a family history of gout can be associated with an increased risk of kidney stones and kidney damage, it is not a common risk factor for the development of ESRD.

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A client with ESRD expresses feelings of anger and frustration about the treatment regimen and lifestyle changes. The nurse recognizes the importance of therapeutic communication to support the client effectively. Which nursing statement is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with polycystic kidney disease (PKD. asks the nurse about the cause of their condition. Which response by the nurse is accurate?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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 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 nurse is caring for a client with ESRD who is experiencing depression and feelings of hopelessness. Which intervention is appropriate to provide emotional support?

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?

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 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?

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 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?