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 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.

Questions

A. Avoid addressing stressors to prevent additional emotional burden. B. Encourage the client to suppress emotions to avoid expressing stress outwardly. C. Teach deep breathing exercises and mindfulness techniques to manage stress. D. Suggest the client engage in excessive physical activity to distract from stressors.

Correct Answer is C

Explanation

A. Avoiding addressing stressors can lead to emotional suppression and may increase feelings of burden and isolation, not providing effective coping strategies.

B. Suppressing emotions is not a healthy coping mechanism and may lead to increased stress and emotional strain over time.

C. This is the correct answer. Deep breathing exercises and mindfulness techniques are evidence-based stress management strategies that can help the client manage stress more effectively and promote emotional well-being.

D. While physical activity is essential for overall health, excessive physical activity may not address the root cause of stress and can lead to physical exhaustion.

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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 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?

Correct Answer is D

Explanation

A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

Correct Answer is C

Explanation

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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 client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

A nurse is caring for a client with ESRD who is experiencing anemia. The client asks why they need to take iron supplements as part of their treatment. Which response by the nurse is correct?

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