Question

When engaging the client in the plan of care for end stage renal disease, to what should the nurse pay particular attention?

1) Meal planning when dietary modifications are required
2) Medication regimens and their side effects
3) Weighing client daily
4) Monitoring input and output

Answer 1

For end stage renal disease care, a nurse should pay close attention to meal planning for dietary modifications, medication regimens and side effects, daily weight monitoring, and the patient's fluid input and output, all while providing dialysis treatments under the supervision of a registered nurse.

Step-by-step explanation:

When engaging the client in the plan of care for end stage renal disease (ESRD), the nurse should pay particular attention to several key areas. These include meal planning when dietary modifications are necessary due to the restricted kidney function, which calls for a diet low in protein, nitrogen, and sodium. Another important area is the careful management of medication regimens and being vigilant regarding their potential side effects, as the compromised renal function can affect drug metabolism. Additionally, nurses should focus on weighing the client daily to monitor for fluid retention, which is a common issue in ESRD. Lastly, monitoring input and output is crucial to ensure fluid balance and to prevent complications related to fluid overload or dehydration.

The nurse operating under the direct supervision of a registered nurse will focus on providing dialysis treatments, which includes reviewing patient history, responding to patient needs, and monitoring the dialysis process to ensure accurate and sterile procedures.