The nurse is caring for a client admitted with a diagnosis of acute renal failure. The client asks the nurse, "Are my kidneys failing? Will I need a kidney transplant?" Which response by the nurse is the most appropriate?
A) "No, don't think that. You're going to be fine."
B) "Your condition can be reversed with prompt treatment and usually will not destroy the kidney."
C) "Kidney transplantation is highly likely, and it would be a good idea to start talking to family members."
D) "When the doctor comes to see you, we can talk about whether you will need a transplant."
Answer: B
Acute renal failure is often resolved without the need for transplant if treatment is initiated quickly. There is no need to start lining up donors or wait for the provider to arrive to explore options. Telling the client that everything will be fine is condescending, provides no information, and is not within the nurse's ability to know.
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