A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

"The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis."

"Dialysis can only be performed in a hospital setting using machines and filters."

"There is only one type of dialysis, which involves removing excess fluids through a catheter."

"Dialysis is not recommended for ESRD; other treatment options should be explored."

Answer and Explanation

The Correct Answer is A

A. This statement is correct. The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis. Peritoneal dialysis uses the peritoneal cavity as a natural filter, and intermittent hemodialysis is performed using a machine to filter the blood.

B. This statement is incorrect. Dialysis can be performed both in a hospital setting and at home, depending on the type of dialysis chosen by the client and their healthcare provider.

C. This statement is incorrect. There are two main types of dialysis, as mentioned in option A, not just one.

D. This statement is incorrect. Dialysis is a common and effective treatment option for ESRD when kidney function has significantly declined. It can improve the quality of life and extend survival for many clients with ESRD.

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Correct Answer is B

Explanation

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.

A. Discourage the client from expressing negative emotions to promote a positive environment in the dialysis unit. B. Validate the client's feelings and allow them to express their emotions openly and without judgment. C. Avoid discussing the client's feelings to prevent increasing their emotional distress. D. Encourage the client to focus on the physical benefits of dialysis rather than their emotional experiences.

Correct Answer is B

Explanation

A. This intervention is not appropriate. Discouraging the client from expressing negative emotions can invalidate their feelings and may lead to a lack of emotional support.

B. This intervention is the correct approach. Validating the client's feelings and providing a nonjudgmental environment can help the client feel heard and understood, fostering a therapeutic relationship.

C. This intervention is not helpful. Avoiding the client's feelings does not address their emotional needs and may make the client feel isolated.

D. This intervention is not appropriate. Encouraging the client to focus solely on the physical benefits of dialysis ignores the emotional impact of the treatment and does not address the client's feelings of anger and frustration.

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A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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