A client with ESRD is experiencing anxiety related to the uncertainties of managing their condition and the need for frequent medical visits. The client asks the nurse for strategies to reduce anxiety levels. What should the nurse recommend?

Avoid researching ESRD and dialysis treatments to prevent overwhelming oneself with information.

Engage in deep breathing exercises and mindfulness techniques to manage anxiety during medical appointments.

Limit interactions with healthcare providers to reduce anxiety about the condition.

Stop discussing the concerns about ESRD with family members to avoid further stress.

Answer and Explanation

The Correct Answer is B

A. This option is not appropriate. Encouraging the client to avoid researching their condition and treatments may lead to increased anxiety due to lack of knowledge and understanding.

B. This option is correct. Deep breathing exercises and mindfulness techniques are evidence-based strategies to manage anxiety and stress during medical appointments. These techniques can help the client stay calm and focused during discussions with healthcare providers.

C. This option is not helpful. Limiting interactions with healthcare providers may result in inadequate support and education for the client, leading to increased anxiety and uncertainty.

D. This option is not appropriate. Encouraging the client to stop discussing their concerns with family members can isolate the client emotionally and prevent them from receiving much-needed emotional support.

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Correct Answer is B

Explanation

A. This is correct. Clients with ESRD need to limit their fluid intake to prevent fluid overload, which can lead to swelling, shortness of breath, and heart-related issues.

B. This is incorrect. Protein intake needs to be monitored and adjusted, but it is not restricted entirely. Protein is essential for the body, and malnutrition should be avoided in clients with ESRD. However, high protein intake can put additional strain on the kidneys, so moderation is key.

C. This is correct. Clients with ESRD should avoid foods high in potassium, as elevated potassium levels can lead to life-threatening cardiac arrhythmias. Limiting potassium intake helps maintain potassium levels within a safe range.

D. This is correct. Consuming foods low in phosphorus is crucial for clients with ESRD. High phosphorus levels can lead to complications such as bone disease, so managing phosphorus intake is essential.

A. Abdominal pain and discomfort B. Muscle cramps and twitching C. Increased urine output and excessive thirst D. Hypotension and low blood pressure

Correct Answer is D

Explanation

A. This is incorrect. Abdominal pain and discomfort are not typical complications of hemodialysis.

B. This is incorrect. Muscle cramps and twitching are more commonly associated with ESRD itself or other types of dialysis, such as peritoneal dialysis.

C. This is incorrect. Hemodialysis is intended to remove excess fluids and waste products from the body, leading to decreased urine output, not increased urine output and excessive thirst.

D. This is correct. Hypotension and low blood pressure are common complications of hemodialysis. During the procedure, the rapid removal of fluids can cause a drop in blood pressure, leading to symptoms such as dizziness and lightheadedness.

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A client with ESRD is experiencing anxiety related to the uncertainties of managing their condition and the need for frequent medical visits. The client asks the nurse for strategies to reduce anxiety levels. What should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?

Correct Answer is D

Explanation

A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?

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?

A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

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?

A nurse is educating a client with ESRD about the importance of adhering to the prescribed medication regimen. The client asks why they need to take phosphate binders. Which response by the nurse is correct?

A client with ESRD asks the nurse about treatment options. Which statement by the nurse is accurate?

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?

A nurse is discussing the potential complications of renal transplantation with a client who is considering the procedure. Which complication should the nurse prioritize in the client's education?