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?

"Your feelings are unwarranted; your family wants to help you and be there for you."

"It's natural to feel that way, but try not to focus on it. Your family loves you and wants to support you."

"You should try to hide these feelings from your family to avoid causing them additional stress."

"You should rely more on your friends than your family for support to ease the burden on them."

Answer and Explanation

The Correct Answer is B

A. This response is not helpful. Telling the client that their feelings are unwarranted may invalidate their emotions and not address their concerns.

B. This response is appropriate. Validating the client's feelings while reassuring them of their family's support can help the client feel understood and less burdened by their emotions.

C. This response is not appropriate. Encouraging the client to hide their feelings from their family can lead to emotional suppression and may hinder open communication.

D. This response is not appropriate. Encouraging the client to rely more on friends than family for support may not be practical or address the client's feelings of guilt and burden.

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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.

A. Encourage the client to share their feelings with friends and family to gain support. B. Suggest the client attend a support group to connect with others facing similar challenges. C. Advise the client to limit social interactions to avoid stress. D. Reassure the client that feeling overwhelmed is normal and part of the disease process.

Correct Answer is B

Explanation

A. Encouraging the client to share their feelings with friends and family is essential, but connecting with individuals experiencing similar challenges in a support group can provide the client with additional understanding and emotional support.

B. This is the correct answer. Support groups provide an opportunity for clients with ESRD to share their experiences, learn coping strategies from others, and realize they are not alone in their struggles, which can alleviate feelings of isolation and provide emotional support.

C. Advising the client to limit social interactions can exacerbate feelings of isolation and loneliness, which is not helpful in providing appropriate support.

D. While it is essential to reassure the client that feeling overwhelmed is normal, attending a support group can provide them with practical strategies for coping with these emotions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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?

Correct Answer is B

Explanation

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 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 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 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 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 asks the nurse about the common symptoms they may experience. Which response by the nurse is accurate?

A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?