A client with ESRD is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

The presence of a pet to provide companionship during dialysis exchanges

Availability of transportation options to attend regular dialysis clinic visits

Access to a reliable electricity source for the peritoneal dialysis machine

Proximity to a local hospital or medical facility for emergency care

Answer and Explanation

The Correct Answer is C

A. This is not directly related to the client's successful home-based peritoneal dialysis. While companionship is essential for many clients, it is not a critical factor for dialysis treatment.

B. This is not the most appropriate factor to assess for home-based peritoneal dialysis. Availability of transportation is crucial for clients who may need to travel for hemodialysis sessions, not for clients undergoing peritoneal dialysis at home.

C. This is correct. Access to a reliable electricity source is crucial for home-based peritoneal dialysis since the peritoneal dialysis machine requires electricity to function properly. The machine helps with the exchange of dialysate, which is necessary for effective treatment.

D. This is not directly related to home-based peritoneal dialysis. While proximity to a local hospital or medical facility is always important for any client, it is not a primary factor for choosing home-based peritoneal dialysis as a treatment option.

Questions

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Correct Answer is B

Explanation

A. This is incorrect. Herbal supplements are not always safe, and some can have adverse effects on kidney function, especially if used in excessive amounts or in combination with certain medications.

B. This is correct. Regular use of herbal supplements can potentially interact with medications, including those prescribed for kidney disease, and worsen kidney function. Some herbal supplements may have diuretic properties or may be metabolized by the kidneys, leading to potential complications for individuals with ESRD.

C. This is incorrect. Herbal supplements are not regulated by the U.S. Food and Drug Administration (FDA. , and their safety and efficacy may vary. Some herbal supplements have been associated with adverse effects on kidney health and may not be as benign as the client assumes.

D. This is incorrect. Herbal supplements should not be considered as replacements for prescribed medications in managing ESRD. The client should always consult with their healthcare provider before starting or continuing the use of herbal supplements to ensure they are safe and appropriate for their medical condition.

Questions

A. "ESRD is a reversible condition with proper treatment." B. "ESRD is the final stage of chronic kidney disease where the kidneys permanently lose their ability to function." C. "ESRD is a condition in which the kidneys can no longer function temporarily due to an infection." D. "ESRD is a condition where the kidneys experience reduced function but can still recover with proper management."

Correct Answer is B

Explanation

A. This is incorrect because ESRD is not a reversible condition. Once the kidneys have reached this stage, their ability to function is permanently lost, and treatment focuses on managing the condition and replacing kidney function through dialysis or transplantation.

B. This is correct. ESRD is the final stage of chronic kidney disease, where the kidneys have lost their ability to function adequately to sustain life. At this stage, the client requires renal replacement therapy such as dialysis or kidney transplantation to survive.

C. This is incorrect because ESRD is not a temporary condition caused by an infection; it is a chronic and irreversible condition.

D. This is incorrect because ESRD is not a condition where the kidneys can recover with proper management. Once the kidneys have reached end-stage, their ability to function is permanently compromised.

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A client with ESRD is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

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 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?

A client with ESRD is expressing frustration and lack of motivation in adhering to their treatment plan. The nurse recognizes the importance of motivation in managing the disease effectively. What intervention should the nurse implement to enhance the client's motivation?

A nurse is educating a client with ESRD about the importance of adhering to a renal diet. Which statement by the client indicates a need for further teaching?

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

A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

A client is considering a preemptive renal transplant before requiring dialysis. The client asks the nurse about the advantages of this approach. Which response by the nurse is accurate?

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?