A nurse is caring for a client who has end-stage kidney disease who will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact quality of life?(Select All that Apply.)

A. Restricting airplane travel is not typically a restriction for clients undergoing hemodialysis. With appropriate planning, travel can still be possible, though it may require adjustments such as scheduling dialysis treatments while traveling. Therefore, it may not have a major impact on quality of life for most clients.
B. Limiting social activities to twice a week is not a typical restriction associated with hemodialysis. Although dialysis treatments may limit the time available for activities, it does not specifically limit social interactions to twice a week unless the client’s health deteriorates.
C. Time constraints are a significant concern. Hemodialysis typically requires the client to spend several hours (usually 3-5 hours) per session, 3 times a week, which can disrupt daily routines, work, and personal activities. This can impact the client’s quality of life.
D. Driving restrictions may apply. Many clients on hemodialysis are advised not to drive immediately after dialysis treatments due to potential fatigue, dizziness, or changes in blood pressure. This can impact the client's ability to travel independently and manage daily activities.
E. Restricting fluid intake is a common and critical aspect of hemodialysis. Clients with end-stage kidney disease need to be very careful about how much fluid they consume because their kidneys cannot excrete excess fluid effectively. This restriction can lead to discomfort and can significantly impact quality of life.
F. Restricting foods high in potassium, sodium, and phosphorus is important for clients with end-stage kidney disease undergoing hemodialysis. These dietary restrictions help maintain electrolyte balance and prevent complications like hyperkalemia and hyperphosphatemia, which can be life-threatening. However, adhering to these dietary restrictions can impact social and cultural aspects of the client's life and overall enjoyment of food.