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?

Criticize the client's lack of compliance to increase their motivation to follow the treatment plan.

Offer rewards and incentives to the client for adhering to their treatment regimen.

Tell the client that adherence to the treatment plan is essential, regardless of their feelings.

Listen to the client's concerns and collaboratively explore strategies to address barriers.

Answer and Explanation

The Correct Answer is D

A. Criticizing the client's lack of compliance is not an effective approach and may lead to increased feelings of frustration and disengagement.

B. Offering rewards and incentives may not address the underlying reasons for the client's lack of motivation and may not be a sustainable strategy.

C. Telling the client that adherence is essential regardless of their feelings may not address the barriers they are experiencing and can be perceived as dismissive of their concerns.

D. This is the correct answer. Listening to the client's concerns and exploring strategies together allows the nurse to identify potential barriers to adherence and develop personalized solutions that are meaningful to the client. Collaborative goal-setting enhances the client's motivation and promotes ownership of their treatment plan.

Questions

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Correct Answer is B

Explanation

A. This is incorrect. ESRD leads to decreased urine output and excessive thirst due to impaired kidney function, not increased urine output.

B. This is correct. Swelling of the legs and ankles, also known as edema, is a common symptom of ESRD. Kidney failure causes fluid retention and electrolyte imbalances, leading to edema in the lower extremities and other body parts.

C. This is incorrect. Clients with ESRD often experience poor appetite and unintended weight loss due to the accumulation of waste products in the body.

D. This is incorrect. ESRD is often associated with hypertension and other cardiovascular complications. Clients with ESRD may experience symptoms such as high blood pressure, shortness of breath, and chest pain.

A. "Increasing your fluid intake can help improve kidney function." B. "Avoiding medications like NSAIDs (nonsteroidal anti-inflammatory drugs) can protect your kidneys." C. "Regularly consuming foods high in potassium can help maintain kidney health." D. "Engaging in high-intensity exercise can improve your kidney function."

Correct Answer is B

Explanation

A. This is incorrect. While adequate fluid intake is essential for kidney health, increasing fluid intake is not a solution for worsening kidney function. The client should follow the healthcare provider's recommendations for fluid intake based on their kidney function and medical history.

B. This is correct. NSAIDs, such as ibuprofen and naproxen, can be harmful to the kidneys, especially when used for extended periods or in high doses. Avoiding these medications can help protect the kidneys and prevent further damage, especially in individuals with chronic kidney disease.

C. This is incorrect. Regularly consuming foods high in potassium can be detrimental to individuals with compromised kidney function. High potassium levels can be harmful to the kidneys, and clients with kidney disease may need to restrict their potassium intake to protect their kidneys.

D. This is incorrect. High-intensity exercise may not be suitable for all individuals with kidney disease, and the client should consult their healthcare provider before engaging in any exercise program. While regular physical activity can be beneficial for overall health, the type and intensity of exercise should be individualized based on the client's medical condition and fitness level.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD asks the nurse about the common symptoms they may experience. Which response by the nurse is accurate?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

A nurse is assessing a client with ESRD and asks about their history of kidney stones. Which statement by the client requires further evaluation by the nurse?

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 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 providing education to a client diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What are the common causes of ESRD?" Which response by the nurse is accurate?

A client with ESRD is receiving hemodialysis. The client asks the nurse about the purpose of this treatment. Which response by the nurse is accurate?

A nurse is discussing living donor kidney transplantation with a client who has a family member willing to donate a kidney. The client expresses concerns about the potential risks to the living donor. What should the nurse explain to the client about the evaluation process for living donors?

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 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?