A nurse is assessing a client with ESRD and asks about their history of kidney stones. Which statement by the client requires further evaluation by the nurse?

"I had kidney stones in the past, but they were successfully treated."

"I have a family history of kidney stones, and my sister also had ESRD."

"I had kidney stones once, but I changed my diet to avoid them."

"I never had kidney stones, but I have a history of hypertension and diabetes."

Answer and Explanation

The Correct Answer is D

A. This statement is reassuring. The client's history of kidney stones in the past does not directly contribute to their current diagnosis of ESRD if the stones were successfully treated. However, it may still be relevant to their overall kidney health and risk factors.

B. This statement is concerning. Family history of kidney stones and a sister with ESRD may indicate a genetic predisposition to kidney disease and warrants further evaluation.

C. This statement is positive. Changing the diet to avoid kidney stones is a proactive step to protect kidney health and reduce the risk of kidney damage.

D. This statement requires further evaluation by the nurse. While hypertension and diabetes are well-known risk factors for ESRD, the absence of kidney stones does not rule out other potential causes or risk factors for the client's current diagnosis.

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Correct Answer is C

Explanation

A. This is incorrect. A history of cardiovascular disease can increase the risk of developing ESRD. Cardiovascular disease and kidney disease often share common risk factors, such as hypertension and diabetes, which can contribute to the progression of both conditions.

B. This is incorrect. While the chronic use of certain medications can potentially harm the kidneys, it is not a common risk factor for the development of ESRD. Medications like NSAIDs are more directly associated with kidney injury and acute kidney damage rather than the development of ESRD.

C. This is correct. Cardiovascular disease is a significant risk factor for the development of ESRD. Chronic kidney disease and cardiovascular disease often coexist and share common risk factors. Cardiovascular disease can lead to impaired blood flow to the kidneys, contributing to kidney damage and dysfunction.

D. This is incorrect. While having a family history of gout can be associated with an increased risk of kidney stones and kidney damage, it is not a common risk factor for the development of ESRD.

A. "Iron supplements can help improve your kidney function and slow down the progression of ESRD." B. "Taking iron supplements will help prevent bone fractures and improve bone health." C. "Iron supplements can improve your red blood cell production and treat anemia." D. "You need to take iron supplements to prevent dangerous blood clots."

Correct Answer is C

Explanation

A. This statement is incorrect. Iron supplements do not directly improve kidney function or slow down the progression of ESRD.

B. This statement is incorrect. While adequate calcium and vitamin D are essential for bone health, iron supplements are not primarily used for this purpose.

C. This statement is correct. Iron supplements are prescribed to clients with ESRD experiencing anemia due to decreased red blood cell production. Iron is necessary for the production of hemoglobin, the protein responsible for carrying oxygen in the blood. Supplementing with iron can help improve red blood cell production and alleviate anemia symptoms.

D. This statement is incorrect. Iron supplements are not specifically used to prevent dangerous blood clots.

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A nurse is assessing a client with ESRD and asks about their history of kidney stones. Which statement by the client requires further evaluation by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of cardiovascular disease asks the nurse about the risk factors for developing ESRD. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is caring for a client with ESRD who is experiencing anemia. The client asks why they need to take iron supplements as part of their treatment. Which response by the nurse is correct?

Correct Answer is C

Explanation

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