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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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