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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is correct. Hemodialysis is a renal replacement therapy that uses a dialysis machine to remove waste products, toxins, and excess fluid from the bloodstream when the kidneys are no longer able to do so effectively.
B. This is incorrect. While hemodialysis may have some effect on blood pressure, its primary purpose is to replace kidney function in filtering waste products
and maintaining fluid balance.
C. This is incorrect. Hemodialysis does not stimulate the kidneys to produce more urine. It directly filters the blood to remove toxins and fluid.
D. This is incorrect. Hemodialysis does not involve surgical replacement of damaged kidneys. It is a non-surgical procedure performed in a dialysis center using a dialysis machine.
Correct Answer is D
Explanation
A. This is incorrect. Abdominal pain and discomfort are not typical complications of hemodialysis.
B. This is incorrect. Muscle cramps and twitching are more commonly associated with ESRD itself or other types of dialysis, such as peritoneal dialysis.
C. This is incorrect. Hemodialysis is intended to remove excess fluids and waste products from the body, leading to decreased urine output, not increased urine output and excessive thirst.
D. This is correct. Hypotension and low blood pressure are common complications of hemodialysis. During the procedure, the rapid removal of fluids can cause a drop in blood pressure, leading to symptoms such as dizziness and lightheadedness.
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