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?

Encourage the client to avoid talking about their feelings to prevent dwelling on negative emotions.

Refer the client to a mental health professional for counseling and therapy.

Advise the client to engage in strenuous physical exercise to distract from their emotions.

Encourage the client to rely solely on family for emotional support.

Answer and Explanation

The Correct Answer is B

A. Encouraging the client to avoid talking about their feelings may suppress their emotions and prevent them from seeking appropriate support.

B. This is the correct answer. Depression and feelings of hopelessness require professional mental health intervention. Referring the client to a mental health professional allows for specialized support and counseling to address their emotional needs.

C. While physical exercise can be beneficial for mental health, it is not the primary intervention for addressing clinical depression and feelings of hopelessness.

D. Encouraging the client to rely solely on family for emotional support may not be sufficient to address the severity of their emotional concerns. Professional counseling and therapy are necessary to address clinical depression.

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Correct Answer is A

Explanation

A. This is correct. High blood pressure is a significant risk factor for the progression of chronic kidney disease. Regularly monitoring blood pressure and maintaining it within the recommended target range can help slow the decline in kidney function and reduce the risk of complications associated with kidney disease.

B. This is incorrect. Regular exercise and maintaining a healthy weight are generally beneficial for overall health, including cardiovascular health. However, they do not increase the risk of CKD progression. In fact, they may help improve blood pressure control and reduce the risk of kidney disease progression.

C. This is incorrect. Increasing dietary intake of sodium and protein can be harmful to individuals with kidney disease. High sodium intake can contribute to fluid retention and increased blood pressure, while excessive protein intake can place additional stress on the kidneys. Clients with CKD are often advised to follow a low-sodium and moderate-protein diet to protect kidney function.

D. This is incorrect. Smoking and regular alcohol consumption can have harmful effects on the kidneys and overall health. Smoking is a risk factor for kidney disease progression, and excessive alcohol consumption can contribute to high blood pressure and other health issues that may worsen kidney function.

A. "Limiting potassium intake helps prevent dehydration and electrolyte imbalances." B. "Reducing potassium intake supports healthy kidney function and minimizes the risk of fluid retention." C. "Limiting potassium is essential to avoid bone health issues and fractures." D. "Reducing potassium intake helps prevent dangerous heart rhythms and muscle weakness."

Correct Answer is D

Explanation

A. This statement is incorrect. Limiting potassium intake is not primarily related to preventing dehydration and electrolyte imbalances.

B. This statement is incorrect. While reducing potassium intake can be beneficial for kidney function, it is not the primary reason for limiting potassium in clients with ESRD.

C. This statement is incorrect. Although adequate calcium intake is essential for bone health, it is not the main reason for limiting potassium in ESRD clients.

D. This statement is correct. Clients with ESRD have impaired kidney function, which can lead to decreased potassium excretion. Excess potassium in the bloodstream can result in dangerous heart rhythm disturbances (arrhythmias) and muscle weakness. Limiting dietary potassium helps prevent these complications and maintain a safe level of potassium in the body.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease (CKD. asks the nurse about the risk factors that may accelerate the progression of kidney disease. Which response by the nurse is accurate?

Correct Answer is A

Explanation

A nurse is providing education to a client with ESRD about dietary restrictions related to their condition. The client asks why they need to limit their potassium intake. Which response by the nurse is correct?

Correct Answer is D

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

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?

A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?

A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?

A nurse is educating a client with ESRD about the importance of adhering to a renal diet. Which statement by the client indicates a need for further teaching?

A client with ESRD is experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

A client with ESRD is receiving hemodialysis as part of their treatment plan. The nurse educates the client about potential complications during dialysis. Which information should the nurse include in the education?