A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?

"Chronic renal failure is irreversible, and kidney function will continue to decline over time."

"The prognosis for chronic renal failure is excellent with appropriate lifestyle changes and medications."

"With proper management, chronic renal failure can be cured, and kidney function can be fully restored."

"The prognosis varies depending on the cause and stage of chronic renal failure, but early intervention can slow the progression."

Answer and Explanation

The Correct Answer is D

A. Incorrect. While chronic renal failure is often irreversible, the rate of decline in kidney function can vary depending on the underlying cause and the effectiveness of treatment and management.

B. Incorrect. While appropriate lifestyle changes and medications can improve the client's quality of life and slow the progression of the disease, chronic renal failure is a chronic condition that may require ongoing management.

C. Incorrect. Chronic renal failure is generally not curable, but proper management can help stabilize the condition and slow the progression of kidney damage.

D. Correct. The prognosis for chronic renal failure can vary widely depending on factors such as the cause of kidney disease, the stage of kidney damage, and the client's response to treatment. Early intervention, such as controlling blood pressure and blood sugar levels, can help slow the progression of kidney damage and improve long-term outcomes.

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Correct Answer is C

Explanation

A. Incorrect. Cardiovascular disease can impact kidney health. The heart and kidneys are closely connected, and conditions that affect the heart can also have implications for kidney function.

B. Incorrect. High cholesterol levels can contribute to cardiovascular disease, and cardiovascular disease is a significant risk factor for chronic renal failure. Therefore, high cholesterol indirectly impacts kidney health.

C. Correct. Cardiovascular disease, including conditions like heart failure or atherosclerosis, can lead to decreased blood flow to the kidneys, impairing kidney function and contributing to chronic renal failure.

D. Incorrect. High blood pressure is a well-established risk factor for chronic renal failure. Uncontrolled hypertension can damage the blood vessels in the kidneys, leading to kidney dysfunction over time.

QUESTIONS

A. Encourage regular physical activity to improve energy levels. B. Administer iron supplements to address anemia-related fatigue. C. Instruct the client to increase protein intake for energy support. D. Offer caffeine-containing beverages to combat fatigue.

Correct Answer is B

Explanation

A. Incorrect. While physical activity is essential for overall health, the client's fatigue may be related to anemia, not lack of physical activity.

B. Correct. Fatigue and lethargy are common symptoms of anemia, which is a common complication of chronic renal failure. Iron supplements can help address anemia-related fatigue.

C. Incorrect. Increasing protein intake may not directly address the underlying cause of the client's fatigue, which is likely anemia.

D. Incorrect. Caffeine-containing beverages can contribute to fluid overload and hypertension in chronic renal failure and are not a suitable intervention for addressing fatigue.

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A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the impact of cardiovascular disease on kidney health. Which statement made by the client demonstrates understanding?

Correct Answer is C

Explanation

A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?

Correct Answer is B

Explanation

A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?

A nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?

A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 10 mL/min/1.73m². How should the nurse interpret this result?

A client with chronic renal failure asks the nurse about the purpose of a GFR (glomerular filtration ratE. test. What is the nurse's best response?

A nurse is caring for a client with chronic renal failure who complains of "pins and needles" sensation in their hands and feet. What should the nurse recognize as the possible cause of this symptom?

A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?

A nurse is caring for a client with chronic renal failure who is receiving hemodialysis. What should the nurse include in the client's plan of care to prevent potential complications related to hemodialysis?

A nurse is teaching a client about the risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?