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?

Instruct the client to avoid adhering strictly to the dialysis schedule to prevent burnout.

Encourage the client to skip dialysis sessions if they feel too fatigued.

Teach the client how to recognize and report signs of infection or complications.

Advise the client to avoid monitoring their fluid and dietary intake.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

A. This statement is correct. The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis. Peritoneal dialysis uses the peritoneal cavity as a natural filter, and intermittent hemodialysis is performed using a machine to filter the blood.

B. This statement is incorrect. Dialysis can be performed both in a hospital setting and at home, depending on the type of dialysis chosen by the client and their healthcare provider.

C. This statement is incorrect. There are two main types of dialysis, as mentioned in option A, not just one.

D. This statement is incorrect. Dialysis is a common and effective treatment option for ESRD when kidney function has significantly declined. It can improve the quality of life and extend survival for many clients with ESRD.

A. "The donated kidney will be taken from a deceased donor." B. "The donated kidney will be taken from an unrelated living donor." C. "The donated kidney will be taken from a healthy sibling." D. "The donated kidney will be taken from a genetically matched family member."

Correct Answer is A

Explanation

A. This statement is correct. Renal transplantation can involve kidneys from deceased donors who have chosen to donate their organs after their passing.

B. This statement is incorrect. While living donors can donate kidneys, in this scenario, the kidney is from a deceased donor.

C. This statement is incorrect. The donor could be deceased or living, but the kidney in this scenario is from a deceased donor.

D. This statement is incorrect. While genetic matching can be considered in living donor scenarios, it does not apply to deceased donor situations.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

A client with ESRD is prescribed erythropoietin-stimulating agents (ES to manage anemia. The nurse educates the client about ESA therapy. Which statement by the client indicates a need for further teaching?

A client with ESRD is being evaluated for kidney transplantation. The client asks the nurse about the benefits of kidney transplantation compared to dialysis. Which response by the nurse is accurate?

A client with End-Stage Renal Disease (ESRD. is feeling overwhelmed and anxious about the treatment and lifestyle changes. The nurse notices the client isolating themselves and avoiding interactions with others. What should the nurse do to provide appropriate support?

A client with ESRD is experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?

A client is considering a preemptive renal transplant before requiring dialysis. The client asks the nurse about the advantages of this approach. 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 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?