A nurse is instructing a client with chronic renal failure about medication adherence. The client asks why it is essential to take medications as prescribed. How should the nurse respond?

"Proper medication adherence helps prevent drug interactions."

"Taking medications as prescribed reduces the cost of your treatment."

"Consistent use of medications slows the progression of kidney damage."

"Adhering to medication regimens prevents the need for dietary restrictions."

Answer and Explanation

The Correct Answer is C

A. Incorrect. While proper medication adherence can help prevent drug interactions, it is not the primary reason for advising clients to take medications as prescribed in chronic renal failure.

B. Incorrect. Medication adherence may or may not directly impact the cost of treatment, but the main reason for consistent use is to manage the condition effectively.

C. Correct. Adhering to medication regimens in chronic renal failure is crucial for slowing the progression of kidney damage. Medications are prescribed to control blood pressure, manage complications, and reduce the strain on the kidneys.

D. Incorrect. Medication adherence is essential, but it does not eliminate the need for dietary restrictions in chronic renal failure. Dietary modifications are also a vital part of managing the condition effectively.

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Correct Answer is C

Explanation

A. Incorrect. Increasing the intake of potassium-rich foods may not be appropriate, especially if the client's potassium levels are already elevated due to chronic renal failure. High potassium levels can lead to muscle cramps.

B. Incorrect. While regular weight-bearing exercises are beneficial for overall health, they may not specifically address or alleviate muscle cramps in chronic renal failure.

C. Correct. Engaging in stretching exercises before bedtime can help reduce the frequency of muscle cramps in clients with chronic renal failure. Stretching can help relax and lengthen muscles, reducing the risk of cramping.

D. Incorrect. Taking over-the-counter calcium supplements without proper evaluation of calcium levels can be dangerous and may contribute to other imbalances in chronic renal failure.

A. Encourage regular physical activity to improve energy levels. B. Administer iron supplements to address anemia-related fatigue. C. Instruct the client to increase protein intake for energy support. D. Offer caffeine-containing beverages to combat fatigue.

Correct Answer is B

Explanation

A. Incorrect. While physical activity is essential for overall health, the client's fatigue may be related to anemia, not lack of physical activity.

B. Correct. Fatigue and lethargy are common symptoms of anemia, which is a common complication of chronic renal failure. Iron supplements can help address anemia-related fatigue.

C. Incorrect. Increasing protein intake may not directly address the underlying cause of the client's fatigue, which is likely anemia.

D. Incorrect. Caffeine-containing beverages can contribute to fluid overload and hypertension in chronic renal failure and are not a suitable intervention for addressing fatigue.

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A nurse is instructing a client with chronic renal failure about medication adherence. The client asks why it is essential to take medications as prescribed. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?

Correct Answer is C

Explanation

A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?

Correct Answer is B

Explanation

A nurse is educating a client about the impact of cardiovascular disease on kidney health. Which statement made by the client demonstrates understanding?

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