A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

Increase the dialysis flow rate to shorten the duration of the procedure

Assess the client's weight gain between dialysis sessions

Administer an antiemetic medication as prescribed

Encourage the client to increase fluid intake during dialysis

Answer and Explanation

The Correct Answer is C

A. This is incorrect. Increasing the dialysis flow rate can exacerbate the client's symptoms and lead to further complications, such as hypotension and cramping.

B. This is not the most appropriate action to address the client's current symptoms of nausea and vomiting during the procedure. Assessing weight gain between dialysis sessions is essential for overall fluid management but may not directly address the acute symptoms.

C. This is correct. Administering an antiemetic medication can help alleviate nausea and vomiting during the dialysis procedure. Antiemetics can prevent or reduce these symptoms, making the dialysis session more tolerable for the client.

D. This is incorrect. Increasing fluid intake during dialysis may not be appropriate, as the goal of hemodialysis is to remove excess fluids from the body. Encouraging increased fluid intake could lead to fluid overload and worsen the client's symptoms.

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Correct Answer is D

Explanation

A. This is incorrect. While kidney transplantation does require the use of immunosuppressant medications to prevent organ rejection, it eliminates the need for dialysis and provides a better chance of long-term survival compared to dialysis alone.

B. This is incorrect. While there is a risk of infection after kidney transplantation, the overall risk of infection is generally higher in clients on long-term dialysis.

C. This is incorrect. Kidney transplantation is associated with improved quality of life compared to dialysis. Transplant recipients often experience increased energy, better dietary freedom, and a decreased reliance on medical appointments compared to dialysis patients.

D. This is correct. Kidney transplantation offers the best chance for long-term survival and eliminates the need for ongoing dialysis. It provides improved quality of life and potential freedom from dietary restrictions, fluid restrictions, and the time-consuming dialysis procedure.

Questions

A. "ESRD is a reversible condition with proper treatment." B. "ESRD is the final stage of chronic kidney disease where the kidneys permanently lose their ability to function." C. "ESRD is a condition in which the kidneys can no longer function temporarily due to an infection." D. "ESRD is a condition where the kidneys experience reduced function but can still recover with proper management."

Correct Answer is B

Explanation

A. This is incorrect because ESRD is not a reversible condition. Once the kidneys have reached this stage, their ability to function is permanently lost, and treatment focuses on managing the condition and replacing kidney function through dialysis or transplantation.

B. This is correct. ESRD is the final stage of chronic kidney disease, where the kidneys have lost their ability to function adequately to sustain life. At this stage, the client requires renal replacement therapy such as dialysis or kidney transplantation to survive.

C. This is incorrect because ESRD is not a temporary condition caused by an infection; it is a chronic and irreversible condition.

D. This is incorrect because ESRD is not a condition where the kidneys can recover with proper management. Once the kidneys have reached end-stage, their ability to function is permanently compromised.

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A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

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Naxlex Comprehensive Predictor Exams

A client with ESRD is being evaluated for kidney transplantation. The client asks the nurse about the benefits of kidney transplantation compared to dialysis. Which response by the nurse is accurate?

Correct Answer is D

Explanation

A nurse is providing education to a client recently diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What does End-Stage Renal Disease mean?" Which response by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

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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?

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 is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

A nurse is providing discharge education to a client with ESRD who will require ongoing dialysis treatments. The client expresses concern about how they will manage their condition at home. What should the nurse include in the discharge teaching to promote effective self-care?