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?

"Iron supplements can help improve your kidney function and slow down the progression of ESRD."

"Taking iron supplements will help prevent bone fractures and improve bone health."

"Iron supplements can improve your red blood cell production and treat anemia."

"You need to take iron supplements to prevent dangerous blood clots."

Answer and Explanation

The Correct Answer is C

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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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. Administering a bolus of intravenous (IV) fluid to increase urine output B. Encouraging the client to engage in vigorous physical exercise C. Providing prescribed phosphate-binding medications as scheduled D. Restricting the client's dietary protein intake to minimal levels

Correct Answer is C

Explanation

A. This is incorrect. Administering a bolus of IV fluid may worsen fluid overload and electrolyte imbalances in the client with ESRD. It is not an appropriate intervention for muscle cramps and twitching.

B. This is incorrect. Vigorous physical exercise may exacerbate muscle cramps and twitching in clients with ESRD. Encouraging moderate physical activity is more appropriate.

C. This is correct. Muscle cramps and twitching in clients with ESRD are often associated with elevated phosphate levels in the blood. Phosphate-binding medications can help reduce phosphate levels and alleviate these symptoms.

D. This is incorrect. While dietary protein intake may need to be adjusted for clients with ESRD, restricting protein intake to minimal levels can lead to malnutrition and other complications. It is not an appropriate intervention for muscle cramps and twitching.

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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?

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 client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Correct Answer is C

Explanation

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

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?

A client with ESRD is experiencing anxiety related to the uncertainties of managing their condition and the need for frequent medical visits. The client asks the nurse for strategies to reduce anxiety levels. What should the nurse recommend?

A nurse is discussing the potential complications of renal transplantation with a client who is considering the procedure. Which complication should the nurse prioritize in the client's education?

A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

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 who is experiencing depression and feelings of hopelessness. Which intervention is appropriate to provide emotional support?