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 D

Explanation

A. Incorrect. Hyperthyroidism is not a known risk factor for chronic renal failure. However, uncontrolled thyroid disease may contribute to cardiovascular issues that can impact kidney health.

B. Incorrect. Peptic ulcer disease is not a risk factor for chronic renal failure.

C. Incorrect. Chronic obstructive pulmonary disease (COPD. is not directly associated with an increased risk of chronic renal failure. However, chronic illnesses can place additional stress on the kidneys over time.

D. Correct. Hypertension, or high blood pressure, is a significant risk factor for chronic renal failure. Long-term uncontrolled hypertension can damage the blood vessels in the kidneys, leading to chronic kidney disease.

A. To reduce calcium absorption and prevent kidney stone formation. B. To decrease phosphate levels and prevent hyperphosphatemia. C. To improve iron absorption and manage anemia. D. To increase potassium excretion and prevent hyperkalemia.

Correct Answer is B

Explanation

A. Incorrect. Phosphate binders are not used to reduce calcium absorption. They are specifically prescribed to control phosphate levels in the blood.

B. Correct. Phosphate binders are medications that bind to dietary phosphorus in the digestive tract, preventing its absorption and reducing phosphate levels in the blood. This helps manage hyperphosphatemia, a common complication in chronic renal failure.

C. Incorrect. Phosphate binders do not improve iron absorption or manage anemia. They are not related to iron metabolism.

D. Incorrect. Phosphate binders do not affect potassium excretion. They are specific to phosphate control in the body and do not impact potassium levels.

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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 nurse is assessing a client's risk factors for chronic renal failure. Which medical condition should the nurse recognize as a significant risk factor for kidney disease?

Correct Answer is D

Explanation

A nurse is caring for a client with chronic renal failure who is prescribed phosphate binders. What is the rationale for administering phosphate binders to this client?

Correct Answer is B

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?

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A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports cloudy dialysate effluent during an exchange. What should the nurse do first?

A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 50 mL/min/1.73m². How should the nurse interpret this result?

A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?

A nurse is reviewing the GFR calculation for a client with chronic renal failure. The client's serum creatinine level is 2.5 mg/dL. What should the nurse do next?