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 statement is incorrect. Dialysis does not regenerate damaged kidney tissues; it only serves to replace some kidney functions that are lost in ESRD.

B. This statement is correct. Dialysis is a treatment that helps to remove waste products and excess fluids from the body when the kidneys are unable to perform these functions adequately due to ESRD.

C. This statement is incorrect. Dialysis is not a kidney transplant procedure; it is a method of artificially filtering the blood to perform some functions of the kidneys.

D. This statement is incorrect. Dialysis is not a medication-based treatment; it is a mechanical process to cleanse the blood outside the body.

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 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 nurse is educating a client about the purpose of dialysis as a treatment for ESRD. Which statement by the client indicates a correct understanding of dialysis?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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