A nurse is caring for a client with ESRD who recently started dialysis. The client has expressed feelings of anger and frustration about the lifestyle changes required for treatment. Which nursing intervention is appropriate in this situation?

Discourage the client from expressing negative emotions to promote a positive environment in the dialysis unit.

Validate the client's feelings and allow them to express their emotions openly and without judgment.

Avoid discussing the client's feelings to prevent increasing their emotional distress.

Encourage the client to focus on the physical benefits of dialysis rather than their emotional experiences.

Answer and Explanation

The Correct Answer is B

A. This intervention is not appropriate. Discouraging the client from expressing negative emotions can invalidate their feelings and may lead to a lack of emotional support.

B. This intervention is the correct approach. Validating the client's feelings and providing a nonjudgmental environment can help the client feel heard and understood, fostering a therapeutic relationship.

C. This intervention is not helpful. Avoiding the client's feelings does not address their emotional needs and may make the client feel isolated.

D. This intervention is not appropriate. Encouraging the client to focus solely on the physical benefits of dialysis ignores the emotional impact of the treatment and does not address the client's feelings of anger and frustration.

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Correct Answer is D

Explanation

A. This statement is accurate. ESA therapy can sometimes cause an increase in blood pressure, and the client should monitor their blood pressure regularly to ensure it is well-controlled.

B. This statement is accurate. ESA therapy can increase the risk of blood clots, and clients should be vigilant for signs of blood clots or shortness of breath, as it may indicate a potential complication.

C. This statement is accurate. Iron supplements are often prescribed along with ESA to enhance their effectiveness in treating anemia. Iron helps in the production of red blood cells.

D. This statement is incorrect. There is no evidence to suggest that clients on ESA therapy should avoid vaccinations. In fact, vaccination is important for clients with ESRD to protect against infections, which can be particularly dangerous for individuals with compromised kidney function.

A. Encourage the client to ignore their financial situation to prevent additional stress. B. Refer the client to a financial counselor to explore financial assistance options. C. Advise the client to borrow money from friends or family to meet their expenses. D. Tell the client that financial struggles are common and unavoidable in ESRD.

Correct Answer is B

Explanation

A. Encouraging the client to ignore their financial situation does not address their distress and may hinder them from seeking appropriate financial support.

B. This is the correct answer. Referring the client to a financial counselor can help them explore financial assistance options, budgeting strategies, and potential resources to alleviate their financial difficulties.

C. Suggesting the client borrow money from friends or family may not be a practical solution, and it does not address the root cause of the client's financial distress.

D. While it may be true that financial struggles are common in ESRD, simply acknowledging this fact does not offer practical solutions or support to the client in managing their financial difficulties.

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A nurse is caring for a client with ESRD who recently started dialysis. The client has expressed feelings of anger and frustration about the lifestyle changes required for treatment. Which nursing intervention is appropriate in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD is prescribed erythropoietin-stimulating agents (ES to manage anemia. The nurse educates the client about ESA therapy. Which statement by the client indicates a need for further teaching?

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

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