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?

"Kidney transplantation requires lifelong use of immunosuppressant medications."

"Kidney transplantation has a higher risk of infection compared to long-term dialysis."

"Kidney transplantation may not improve your quality of life compared to dialysis."

"Kidney transplantation eliminates the need for dialysis and offers a better chance of long-term survival."

Answer and Explanation

The Correct Answer is D

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

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Correct Answer is C

Explanation

A. This is incorrect. Peritoneal dialysis typically helps manage fluid and blood pressure imbalances in clients with ESRD.

B. This is incorrect. While blood clots and clotting disorders can be potential complications of ESRD, they are not specifically associated with peritoneal dialysis.

C. This is correct. Peritonitis is a severe and potentially life-threatening complication of peritoneal dialysis. It occurs when the peritoneal cavity, used for dialysis, becomes infected, leading to inflammation and infection at the catheter insertion site.

D. This is incorrect. Electrolyte imbalances and fluid overload can occur with both peritoneal dialysis and hemodialysis. However, peritonitis is a specific complication unique to peritoneal dialysis.

A. "Peritoneal dialysis requires frequent visits to a dialysis center." B. "Peritoneal dialysis provides greater flexibility in scheduling and can be done at home." C. "Peritoneal dialysis involves the insertion of a catheter into your bladder." D. "Peritoneal dialysis carries a higher risk of infection compared to hemodialysis."

Correct Answer is B

Explanation

A. This is incorrect. Peritoneal dialysis is typically performed at home, providing more flexibility and convenience for clients compared to hemodialysis, which requires regular visits to a dialysis center.

B. This is correct. Peritoneal dialysis is performed at home, which allows clients to have more control over their treatment schedule. It can be done during the day or overnight, providing greater flexibility for clients to continue with their daily activities.

C. This is incorrect. Peritoneal dialysis involves the insertion of a catheter into the peritoneal cavity, not the bladder. The catheter allows the dialysis solution to be infused and drained from the peritoneal cavity.

D. This is incorrect. While peritoneal dialysis does carry some risk of infection, it is generally considered to have a lower risk of infection compared to hemodialysis, where blood is exposed to an external machine.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?

Correct Answer is C

Explanation

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?

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 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 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 asks the nurse about the potential complications they may face. Which response by the nurse is accurate?

A client diagnosed with polycystic kidney disease (PKD. asks the nurse about the cause of their condition. 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 nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?

A nurse is discussing living donor kidney transplantation with a client who has a family member willing to donate a kidney. The client expresses concerns about the potential risks to the living donor. What should the nurse explain to the client about the evaluation process for living donors?