A nurse is providing education to a client with ESRD about dietary restrictions related to their condition. The client asks why they need to limit their potassium intake. Which response by the nurse is correct?

"Limiting potassium intake helps prevent dehydration and electrolyte imbalances."

"Reducing potassium intake supports healthy kidney function and minimizes the risk of fluid retention."

"Limiting potassium is essential to avoid bone health issues and fractures."

"Reducing potassium intake helps prevent dangerous heart rhythms and muscle weakness."

Answer and Explanation

The Correct Answer is D

A. This statement is incorrect. Limiting potassium intake is not primarily related to preventing dehydration and electrolyte imbalances.

B. This statement is incorrect. While reducing potassium intake can be beneficial for kidney function, it is not the primary reason for limiting potassium in clients with ESRD.

C. This statement is incorrect. Although adequate calcium intake is essential for bone health, it is not the main reason for limiting potassium in ESRD clients.

D. This statement is correct. Clients with ESRD have impaired kidney function, which can lead to decreased potassium excretion. Excess potassium in the bloodstream can result in dangerous heart rhythm disturbances (arrhythmias) and muscle weakness. Limiting dietary potassium helps prevent these complications and maintain a safe level of potassium in the body.

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Correct Answer is B

Explanation

A. This is incorrect. Herbal supplements are not always safe, and some can have adverse effects on kidney function, especially if used in excessive amounts or in combination with certain medications.

B. This is correct. Regular use of herbal supplements can potentially interact with medications, including those prescribed for kidney disease, and worsen kidney function. Some herbal supplements may have diuretic properties or may be metabolized by the kidneys, leading to potential complications for individuals with ESRD.

C. This is incorrect. Herbal supplements are not regulated by the U.S. Food and Drug Administration (FDA. , and their safety and efficacy may vary. Some herbal supplements have been associated with adverse effects on kidney health and may not be as benign as the client assumes.

D. This is incorrect. Herbal supplements should not be considered as replacements for prescribed medications in managing ESRD. The client should always consult with their healthcare provider before starting or continuing the use of herbal supplements to ensure they are safe and appropriate for their medical condition.

Questions

A. "Hemodialysis helps remove toxins and excess fluid from your bloodstream, functioning as artificial kidneys." B. "Hemodialysis helps regulate your blood pressure and heart rate to improve kidney function." C. "Hemodialysis stimulates your kidneys to produce more urine and improve their filtration capacity." D. "Hemodialysis is a surgical procedure to replace your damaged kidneys with healthy donor kidneys."

Correct Answer is A

Explanation

A. This is correct. Hemodialysis is a renal replacement therapy that uses a dialysis machine to remove waste products, toxins, and excess fluid from the bloodstream when the kidneys are no longer able to do so effectively.

B. This is incorrect. While hemodialysis may have some effect on blood pressure, its primary purpose is to replace kidney function in filtering waste products

and maintaining fluid balance.

C. This is incorrect. Hemodialysis does not stimulate the kidneys to produce more urine. It directly filters the blood to remove toxins and fluid.

D. This is incorrect. Hemodialysis does not involve surgical replacement of damaged kidneys. It is a non-surgical procedure performed in a dialysis center using a dialysis machine.

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A nurse is providing education to a client with ESRD about dietary restrictions related to their condition. The client asks why they need to limit their potassium intake. Which response by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?

Correct Answer is B

Explanation

A client with ESRD is receiving hemodialysis. The client asks the nurse about the purpose of this treatment. Which response by the nurse is accurate?

Correct Answer is A

Explanation

A client with ESRD is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

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 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 educating a client with ESRD about the importance of adhering to a renal diet. Which statement by the client indicates a need for further teaching?

A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?

A client with ESRD has started hemodialysis and is struggling with the treatment's lifestyle disruptions and the impact on their family relationships. The client expresses feelings of guilt and burdening their family. Which response by the nurse is appropriate?

A client diagnosed with polycystic kidney disease (PKD. asks the nurse about the cause of their condition. Which response by the nurse is accurate?