A client with ESRD is prescribed erythropoietin-stimulating agents (ES to manage anemia. The nurse educates the client about ESA therapy. Which statement by the client indicates a need for further teaching?

"I should monitor my blood pressure regularly while taking ESA."

"I will report any signs of blood clots or shortness of breath to my healthcare provider."

"I should take iron supplements along with ESA to improve the effectiveness."

"It's essential to avoid vaccinations while on ESA therapy to prevent infections."

Answer and Explanation

The Correct Answer is D

A. This statement is accurate. ESA therapy can sometimes cause an increase in blood pressure, and the client should monitor their blood pressure regularly to ensure it is well-controlled.

B. This statement is accurate. ESA therapy can increase the risk of blood clots, and clients should be vigilant for signs of blood clots or shortness of breath, as it may indicate a potential complication.

C. This statement is accurate. Iron supplements are often prescribed along with ESA to enhance their effectiveness in treating anemia. Iron helps in the production of red blood cells.

D. This statement is incorrect. There is no evidence to suggest that clients on ESA therapy should avoid vaccinations. In fact, vaccination is important for clients with ESRD to protect against infections, which can be particularly dangerous for individuals with compromised kidney function.

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Correct Answer is B

Explanation

A. This response is not appropriate. Telling the client to ignore their feelings can invalidate their emotions and may lead to further distress.

B. This response is the correct approach. Acknowledging the client's emotions as normal and suggesting joining a support group allows the client to connect with others who can empathize with their experiences and provide emotional support.

C. This response is not helpful. Encouraging the client to be more positive dismisses their genuine feelings and does not address their emotional needs.

D. This response is not supportive. Encouraging the client to talk less to their family about their feelings can lead to feelings of isolation and may hinder the client from seeking the support they need.

A. Graft rejection leading to potential organ failure B. Incisional pain and discomfort after the surgery C. The risk of developing urinary tract infections D. Short-term complications related to immunosuppressive medications

Correct Answer is A

Explanation

A. This statement is correct. Graft rejection is a significant concern after renal transplantation. If the transplanted kidney is rejected by the recipient's immune system, it can lead to organ failure and the need for additional treatment options.

B. This statement is not the most critical complication to prioritize in the client's education. While incisional pain and discomfort are common after surgery, they are typically managed effectively with pain medications and wound care.

C. This statement is important to discuss, but it is not the most critical complication. Clients will be educated on infection prevention strategies and will undergo regular monitoring for infections.

D. This statement is important to address, but it is not the highest priority. Short-term complications related to immunosuppressive medications can be managed, and the benefits of preventing graft rejection outweigh the risks associated with these medications.

Questions

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A client with ESRD is prescribed erythropoietin-stimulating agents (ES to manage anemia. The nurse educates the client about ESA therapy. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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