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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is correct. Family history of diabetes is a significant risk factor for the development of ESRD. Diabetes is one of the leading causes of ESRD, and individuals with a family history of diabetes are at increased risk of kidney complications.
B. This is incorrect because being physically active and maintaining a healthy lifestyle do not increase the risk of ESRD. In fact, a healthy lifestyle can help reduce the risk of developing kidney disease.
C. This is incorrect because having a history of frequent kidney stones is not associated with a decreased risk of ESRD. In some cases, recurrent kidney stones may lead to chronic kidney disease, which can progress to ESRD.
D. This is incorrect because high blood pressure (hypertension) is a significant risk factor for the development and progression of ESRD. Uncontrolled hypertension can lead to damage to the blood vessels in the kidneys, contributing to kidney disease.
Correct Answer is C
Explanation
A. This statement is incorrect. Renal transplantation is not always temporary; it can provide long-term relief and improve the client's quality of life.
B. This statement is incorrect. While renal transplantation is beneficial, recipients will need to take lifelong immunosuppressive medications to prevent organ rejection.
C. This statement is correct. Renal transplantation is a treatment that can provide immediate relief from the symptoms of ESRD and restore normal kidney function, allowing the client to lead a more normal life.
D. This statement is incorrect. Renal transplantation is not limited to clients with a specific genetic predisposition; it is a treatment option considered for any eligible client with ESRD.
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