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?

"I should limit my fluid intake to prevent fluid overload and swelling."

"I need to restrict my protein intake to protect my kidneys."

"I will avoid foods high in potassium to prevent dangerous levels in my blood."

"I should consume foods low in phosphorus to protect my bones."

Answer and Explanation

The Correct Answer is B

A. This is correct. Clients with ESRD need to limit their fluid intake to prevent fluid overload, which can lead to swelling, shortness of breath, and heart-related issues.

B. This is incorrect. Protein intake needs to be monitored and adjusted, but it is not restricted entirely. Protein is essential for the body, and malnutrition should be avoided in clients with ESRD. However, high protein intake can put additional strain on the kidneys, so moderation is key.

C. This is correct. Clients with ESRD should avoid foods high in potassium, as elevated potassium levels can lead to life-threatening cardiac arrhythmias. Limiting potassium intake helps maintain potassium levels within a safe range.

D. This is correct. Consuming foods low in phosphorus is crucial for clients with ESRD. High phosphorus levels can lead to complications such as bone disease, so managing phosphorus intake is essential.

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Correct Answer is B

Explanation

A. This response is not appropriate. Telling the client to ignore their feelings can invalidate their emotions and may lead to further distress.

B. This response is the correct approach. Acknowledging the client's emotions as normal and suggesting joining a support group allows the client to connect with others who can empathize with their experiences and provide emotional support.

C. This response is not helpful. Encouraging the client to be more positive dismisses their genuine feelings and does not address their emotional needs.

D. This response is not supportive. Encouraging the client to talk less to their family about their feelings can lead to feelings of isolation and may hinder the client from seeking the support they need.

A. Prevent the body from rejecting the transplanted kidney B. Reduce the risk of infections in the donor and recipient C. Avoid complications during the surgery and promote wound healing D. Improve the function of the native kidneys and minimize the need for dialysis

Correct Answer is A

Explanation

A. This statement is correct. Immunosuppressive medications are crucial after a renal transplant to prevent the body's immune system from attacking and rejecting the transplanted kidney.

B. This statement is not directly related to the need for immunosuppressive medications. While infection prevention is essential, immunosuppressive medications serve a different purpose.

C. This statement is incorrect. Immunosuppressive medications are not directly related to complications during surgery or wound healing.

D. This statement is incorrect. Immunosuppressive medications are not intended to improve the function of native kidneys. Their primary purpose is to prevent rejection of the transplanted kidney.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

A client with ESRD is scheduled for a renal transplant. The nurse should provide preoperative education about the importance of compliance with immunosuppressive medications following the surgery to:

Correct Answer is A

Explanation

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?

A client with ESRD asks the nurse about the common symptoms they may experience. Which response by the nurse is accurate?

A nurse is educating a client about the purpose of dialysis as a treatment for ESRD. Which statement by the client indicates a correct understanding of dialysis?

A nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?

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 diagnosed with polycystic kidney disease (PKD. asks the nurse about the cause of their condition. Which response by the nurse is accurate?

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?

A client with end-stage renal disease (ESRD. is considering renal transplantation as a treatment option. The client asks the nurse about the advantages of this procedure. Which response by the nurse is accurate?