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 C

Explanation

A. This statement is incorrect. In living donor kidney transplantation, the donor's kidney is surgically removed and transplanted directly into the recipient's body during the same surgical procedure.

B. This statement is incorrect. While both the donor and recipient will undergo surgeries simultaneously, they will be in separate operating rooms.

C. This statement is correct. During the kidney transplant, the donor's kidney is placed in the recipient's lower abdomen, and the recipient's native kidneys, if present and non-functional, may be removed or left in place, depending on the circumstances.

D. This statement is incorrect. The donor's kidney is typically transplanted into the lower abdomen on the opposite side from the recipient's native failed kidney to ensure proper blood supply and surgical access.

A. "You should try to ignore these feelings and focus on your dialysis treatments." B. "It's normal to feel this way. Consider joining a support group to connect with others who are going through similar experiences." C. "You need to accept that these feelings are part of having ESRD and try to be more positive." D. "You should talk to your family less about your feelings to avoid burdening them."

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.

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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 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?

Correct Answer is C

Explanation

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

A client with End-Stage Renal Disease (ESRD. is feeling overwhelmed and anxious about the treatment and lifestyle changes. The nurse notices the client isolating themselves and avoiding interactions with others. What should the nurse do to provide appropriate support?

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A client with ESRD is undergoing continuous ambulatory peritoneal dialysis (CAPD. . The nurse should educate the client about which essential aspect of CAPD to minimize the risk of complications?

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A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

A client with ESRD has started hemodialysis and is struggling with the treatment's lifestyle disruptions and the impact on their family relationships. The client expresses feelings of guilt and burdening their family. Which response by the nurse is appropriate?

A nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. 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?