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?

"Hemodialysis helps remove toxins and excess fluid from your bloodstream, functioning as artificial kidneys."

"Hemodialysis helps regulate your blood pressure and heart rate to improve kidney function."

"Hemodialysis stimulates your kidneys to produce more urine and improve their filtration capacity."

"Hemodialysis is a surgical procedure to replace your damaged kidneys with healthy donor kidneys."

Answer and Explanation

The Correct Answer is A

A. This is correct. Hemodialysis is a renal replacement therapy that uses a dialysis machine to remove waste products, toxins, and excess fluid from the bloodstream when the kidneys are no longer able to do so effectively.

B. This is incorrect. While hemodialysis may have some effect on blood pressure, its primary purpose is to replace kidney function in filtering waste products

and maintaining fluid balance.

C. This is incorrect. Hemodialysis does not stimulate the kidneys to produce more urine. It directly filters the blood to remove toxins and fluid.

D. This is incorrect. Hemodialysis does not involve surgical replacement of damaged kidneys. It is a non-surgical procedure performed in a dialysis center using a dialysis machine.

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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. Prevent the body from rejecting the transplanted kidney B. Reduce the risk of infections in the donor and recipient C. Avoid complications during the surgery and promote wound healing D. Improve the function of the native kidneys and minimize the need for dialysis

Correct Answer is A

Explanation

A. This statement is correct. Immunosuppressive medications are crucial after a renal transplant to prevent the body's immune system from attacking and rejecting the transplanted kidney.

B. This statement is not directly related to the need for immunosuppressive medications. While infection prevention is essential, immunosuppressive medications serve a different purpose.

C. This statement is incorrect. Immunosuppressive medications are not directly related to complications during surgery or wound healing.

D. This statement is incorrect. Immunosuppressive medications are not intended to improve the function of native kidneys. Their primary purpose is to prevent rejection of the transplanted kidney.

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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?

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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 ESRD is scheduled for a renal transplant. The nurse should provide preoperative education about the importance of compliance with immunosuppressive medications following the surgery to:

Correct Answer is A

Explanation

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