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. This is incorrect. Administering a bolus of IV fluid may worsen fluid overload and electrolyte imbalances in the client with ESRD. It is not an appropriate intervention for muscle cramps and twitching.

B. This is incorrect. Vigorous physical exercise may exacerbate muscle cramps and twitching in clients with ESRD. Encouraging moderate physical activity is more appropriate.

C. This is correct. Muscle cramps and twitching in clients with ESRD are often associated with elevated phosphate levels in the blood. Phosphate-binding medications can help reduce phosphate levels and alleviate these symptoms.

D. This is incorrect. While dietary protein intake may need to be adjusted for clients with ESRD, restricting protein intake to minimal levels can lead to malnutrition and other complications. It is not an appropriate intervention for muscle cramps and twitching.

A. Encourage the client to ignore their financial situation to prevent additional stress. B. Refer the client to a financial counselor to explore financial assistance options. C. Advise the client to borrow money from friends or family to meet their expenses. D. Tell the client that financial struggles are common and unavoidable in ESRD.

Correct Answer is B

Explanation

A. Encouraging the client to ignore their financial situation does not address their distress and may hinder them from seeking appropriate financial support.

B. This is the correct answer. Referring the client to a financial counselor can help them explore financial assistance options, budgeting strategies, and potential resources to alleviate their financial difficulties.

C. Suggesting the client borrow money from friends or family may not be a practical solution, and it does not address the root cause of the client's financial distress.

D. While it may be true that financial struggles are common in ESRD, simply acknowledging this fact does not offer practical solutions or support to the client in managing their financial difficulties.

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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 reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

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A nurse is caring for a client with ESRD who is experiencing depression and feelings of hopelessness. Which intervention is appropriate to provide emotional support?

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