A client with ESRD is experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

Encourage the client to ignore their financial situation to prevent additional stress.

Refer the client to a financial counselor to explore financial assistance options.

Advise the client to borrow money from friends or family to meet their expenses.

Tell the client that financial struggles are common and unavoidable in ESRD.

Answer and Explanation

The Correct Answer is B

A. Encouraging the client to ignore their financial situation does not address their distress and may hinder them from seeking appropriate financial support.

B. This is the correct answer. Referring the client to a financial counselor can help them explore financial assistance options, budgeting strategies, and potential resources to alleviate their financial difficulties.

C. Suggesting the client borrow money from friends or family may not be a practical solution, and it does not address the root cause of the client's financial distress.

D. While it may be true that financial struggles are common in ESRD, simply acknowledging this fact does not offer practical solutions or support to the client in managing their financial difficulties.

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Correct Answer is C

Explanation

A. This is incorrect. A history of cardiovascular disease can increase the risk of developing ESRD. Cardiovascular disease and kidney disease often share common risk factors, such as hypertension and diabetes, which can contribute to the progression of both conditions.

B. This is incorrect. While the chronic use of certain medications can potentially harm the kidneys, it is not a common risk factor for the development of ESRD. Medications like NSAIDs are more directly associated with kidney injury and acute kidney damage rather than the development of ESRD.

C. This is correct. Cardiovascular disease is a significant risk factor for the development of ESRD. Chronic kidney disease and cardiovascular disease often coexist and share common risk factors. Cardiovascular disease can lead to impaired blood flow to the kidneys, contributing to kidney damage and dysfunction.

D. This is incorrect. While having a family history of gout can be associated with an increased risk of kidney stones and kidney damage, it is not a common risk factor for the development of ESRD.

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 experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

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 ESRD is experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

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

A client with ESRD expresses feelings of anger and frustration about the treatment regimen and lifestyle changes. The nurse recognizes the importance of therapeutic communication to support the client effectively. Which nursing statement is most appropriate?

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 client with a history of chronic kidney disease asks the nurse about the factors that can worsen kidney function. Which response by the nurse is accurate?

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 client with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. Which response by the nurse is accurate?