CDN Patient Education and Psychosocial Care 3

Question 1

A dialysis patient repeatedly misses treatments. What is the most effective first step in addressing non-adherence?

Accepted Answer

Explore underlying barriers such as transportation, depression, or financial concerns

Answer

Issue a formal warning about treatment consequences

Answer

Reduce treatment time as an incentive for attendance

Answer

Contact family members to enforce compliance

Question 2

Which dietary education point is MOST important for a dialysis patient with consistently elevated pre-dialysis potassium levels?

Accepted Answer

Identify and limit high-potassium foods like bananas, oranges, potatoes, and tomatoes

Answer

Avoid all fruits and vegetables completely

Answer

Increase dialysis session frequency to manage potassium

Answer

Stop taking all medications that contain potassium

Question 3

What is the purpose of measuring serum albumin in a dialysis patient's monthly labs?

Accepted Answer

Assess nutritional status as a predictor of morbidity and mortality

Answer

Monitor liver function

Answer

Evaluate dialysis adequacy

Answer

Measure protein losses during dialysis

Question 4

When teaching a patient about signs of access complications to report between treatments, which symptom requires the most urgent notification?

Accepted Answer

Uncontrolled bleeding from the access site that does not stop with 20 minutes of pressure

Answer

Mild bruising around the access site

Answer

Slight itching around access needles sites

Answer

Access arm feeling slightly warmer than usual

Question 5

Which nutritional supplement is routinely recommended for hemodialysis patients due to dialytic losses?

Accepted Answer

Water-soluble vitamins B and C (dialysis-specific formulation)

Answer

Fat-soluble vitamins A, D, E, and K

Answer

Iron supplements without medical evaluation

Answer

Calcium carbonate as a daily supplement regardless of labs

Question 6

A patient on dialysis asks about sexual dysfunction they have been experiencing. What is the most appropriate nursing response?

Accepted Answer

Acknowledge it is a common complication of ESRD and refer to physician and/or renal social worker for evaluation

Answer

Redirect the conversation to dialysis treatment topics

Answer

Reassure the patient it is temporary and will resolve

Answer

Suggest the patient discuss it with their primary care provider only