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. "Iron supplements can help improve your kidney function and slow down the progression of ESRD." B. "Taking iron supplements will help prevent bone fractures and improve bone health." C. "Iron supplements can improve your red blood cell production and treat anemia." D. "You need to take iron supplements to prevent dangerous blood clots."

Correct Answer is C

Explanation

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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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 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?

Correct Answer is C

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?

A nurse is providing preoperative education to a client who is scheduled for a renal transplant. The client asks about the source of the donated kidney. Which response by the nurse is accurate?

A client with ESRD has started hemodialysis and is struggling with the treatment's lifestyle disruptions and the impact on their family relationships. The client expresses feelings of guilt and burdening their family. Which response by the nurse is appropriate?

A nurse is educating a client with ESRD about the importance of adhering to the prescribed medication regimen. The client asks why they need to take phosphate binders. Which response by the nurse is correct?

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

A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

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?

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?