A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

"Family history of diabetes is a risk factor for ESRD."

"Being physically active and maintaining a healthy lifestyle can increase the risk of ESRD."

"Having a history of frequent kidney stones decreases the risk of ESRD."

"High blood pressure has no association with the development of ESRD."

Answer and Explanation

The Correct Answer is A

A. This is correct. Family history of diabetes is a significant risk factor for the development of ESRD. Diabetes is one of the leading causes of ESRD, and individuals with a family history of diabetes are at increased risk of kidney complications.

B. This is incorrect because being physically active and maintaining a healthy lifestyle do not increase the risk of ESRD. In fact, a healthy lifestyle can help reduce the risk of developing kidney disease.

C. This is incorrect because having a history of frequent kidney stones is not associated with a decreased risk of ESRD. In some cases, recurrent kidney stones may lead to chronic kidney disease, which can progress to ESRD.

D. This is incorrect because high blood pressure (hypertension) is a significant risk factor for the development and progression of ESRD. Uncontrolled hypertension can lead to damage to the blood vessels in the kidneys, contributing to kidney disease.

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Correct Answer is A

Explanation

A. This statement is correct. Living donors undergo a comprehensive physical and psychological evaluation to ensure they are in good health and at minimal risk for complications after the surgery.

B. This statement is incorrect. While genetic matching can be considered in some cases, it is not the primary factor in the evaluation process for living donors.

C. This statement is incorrect. Living donors can be unrelated individuals, such as friends or even altruistic donors, as long as they meet the necessary health criteria.

D. This statement is incorrect. Blood type compatibility is essential for a successful transplant, but it is not the only consideration in the evaluation process for living donors.

A. Instruct the client to avoid adhering strictly to the dialysis schedule to prevent burnout. B. Encourage the client to skip dialysis sessions if they feel too fatigued. C. Teach the client how to recognize and report signs of infection or complications. D. Advise the client to avoid monitoring their fluid and dietary intake.

Correct Answer is C

Explanation

A. Instructing the client to avoid adhering strictly to the dialysis schedule can be detrimental to their health and may lead to complications associated with missed treatments.

B. Encouraging the client to skip dialysis sessions is not appropriate as it can worsen their condition and lead to serious health consequences.

C. This is the correct answer. Recognizing and reporting signs of infection or complications is crucial for clients on dialysis. Early detection and management of potential issues can help prevent further complications and ensure the client's well-being.

D. Advising the client to avoid monitoring their fluid and dietary intake can lead to fluid overload and worsen their ESRD condition.

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A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

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Naxlex Comprehensive Predictor Exams

A nurse is discussing living donor kidney transplantation with a client who has a family member willing to donate a kidney. The client expresses concerns about the potential risks to the living donor. What should the nurse explain to the client about the evaluation process for living donors?

Correct Answer is A

Explanation

A nurse is providing discharge education to a client with ESRD who will require ongoing dialysis treatments. The client expresses concern about how they will manage their condition at home. What should the nurse include in the discharge teaching to promote effective self-care?

Correct Answer is C

Explanation

A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

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