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 C

Explanation

A. Telling the client they must accept their condition without resistance may invalidate their emotions and not allow them to express their feelings freely.

B. While positivity is essential, avoiding focusing on negative emotions may hinder therapeutic communication and the client's ability to express their true feelings.

C. This is the correct answer. Therapeutic communication involves active listening and providing a safe space for the client to express their feelings openly. The nurse's statement acknowledges the client's emotions and offers support.

D. Encouraging the client to think about positive aspects and avoid dwelling on the negative may not allow the client to process and express their feelings genuinely.

A. "ESRD is a reversible condition with proper treatment." B. "ESRD is the final stage of chronic kidney disease where the kidneys permanently lose their ability to function." C. "ESRD is a condition in which the kidneys can no longer function temporarily due to an infection." D. "ESRD is a condition where the kidneys experience reduced function but can still recover with proper management."

Correct Answer is B

Explanation

A. This is incorrect because ESRD is not a reversible condition. Once the kidneys have reached this stage, their ability to function is permanently lost, and treatment focuses on managing the condition and replacing kidney function through dialysis or transplantation.

B. This is correct. ESRD is the final stage of chronic kidney disease, where the kidneys have lost their ability to function adequately to sustain life. At this stage, the client requires renal replacement therapy such as dialysis or kidney transplantation to survive.

C. This is incorrect because ESRD is not a temporary condition caused by an infection; it is a chronic and irreversible condition.

D. This is incorrect because ESRD is not a condition where the kidneys can recover with proper management. Once the kidneys have reached end-stage, their ability to function is permanently compromised.

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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 expresses feelings of anger and frustration about the treatment regimen and lifestyle changes. The nurse recognizes the importance of therapeutic communication to support the client effectively. Which nursing statement is most appropriate?

Correct Answer is C

Explanation

A nurse is providing education to a client recently diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What does End-Stage Renal Disease mean?" Which response by the nurse is accurate?

Correct Answer is B

Explanation

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

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?

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