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

"ESRD is primarily caused by acute kidney injury (AKI) resulting from a sudden decrease in kidney function."

"The most common cause of ESRD is uncontrolled hypertension and diabetes mellitus."

"ESRD is usually caused by kidney stones that obstruct the flow of urine."

"Genetic factors and family history are the primary causes of ESRD."

Answer and Explanation

The Correct Answer is B

A. This is incorrect. While acute kidney injury (AKI) can contribute to the development of ESRD, it is not the primary cause. ESRD typically results from chronic kidney diseases that progress over time, such as diabetes and hypertension.

B. This is correct. The most common causes of ESRD are diabetes mellitus and uncontrolled hypertension. These conditions can lead to chronic kidney disease and eventual kidney failure if not well managed.

C. This is incorrect. While kidney stones can cause kidney damage and contribute to kidney disease, they are not a common cause of ESRD.

D. This is incorrect. While genetic factors and family history may play a role in some cases of kidney disease, they are not the primary causes of ESRD. ESRD is most commonly associated with chronic conditions like diabetes and hypertension.

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Correct Answer is B

Explanation

A. This response is not appropriate. Telling the client to ignore their feelings can invalidate their emotions and may lead to further distress.

B. This response is the correct approach. Acknowledging the client's emotions as normal and suggesting joining a support group allows the client to connect with others who can empathize with their experiences and provide emotional support.

C. This response is not helpful. Encouraging the client to be more positive dismisses their genuine feelings and does not address their emotional needs.

D. This response is not supportive. Encouraging the client to talk less to their family about their feelings can lead to feelings of isolation and may hinder the client from seeking the support they need.

A. "Renal transplantation is a temporary treatment, and you may need another transplant in a few years." B. "Renal transplantation eliminates the need for lifelong immunosuppressive medications." C. "Renal transplantation provides immediate relief from symptoms and restores normal kidney function." D. "Renal transplantation is only suitable for clients with a genetic predisposition to kidney diseases."

Correct Answer is C

Explanation

A. This statement is incorrect. Renal transplantation is not always temporary; it can provide long-term relief and improve the client's quality of life.

B. This statement is incorrect. While renal transplantation is beneficial, recipients will need to take lifelong immunosuppressive medications to prevent organ rejection.

C. This statement is correct. Renal transplantation is a treatment that can provide immediate relief from the symptoms of ESRD and restore normal kidney function, allowing the client to lead a more normal life.

D. This statement is incorrect. Renal transplantation is not limited to clients with a specific genetic predisposition; it is a treatment option considered for any eligible client with ESRD.

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

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Naxlex Comprehensive Predictor Exams

A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

A client with end-stage renal disease (ESRD. is considering renal transplantation as a treatment option. The client asks the nurse about the advantages of this procedure. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

A client with ESRD is receiving hemodialysis as part of their treatment plan. The nurse educates the client about potential complications during dialysis. Which information should the nurse include in the education?

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

A nurse is assessing a client with ESRD and asks about their history of kidney stones. Which statement by the client requires further evaluation by the nurse?

A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

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?

A client with a history of cardiovascular disease asks the nurse about the risk factors for developing ESRD. Which response by the nurse is accurate?

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?