A 74-Year-Old Who Is Progressing to Stage 5 Chronic Kidney

question 24

Multiple Choice

A 74-year-old who is progressing to stage 5 chronic kidney disease asks the nurse,"Do you think I should go on dialysis? Which initial response by the nurse is best?

• A) "It depends on which type of dialysis you are considering."
• B) "Tell me more about what you are thinking regarding dialysis."
• C) "You are the only one who can make the decision about dialysis."
• D) "Many people your age use dialysis and have a good quality of life."

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Definitions:

Earlobe

The lower part of the external ear that is composed of soft skin and a small amount of fatty tissue, often the site for ear piercings.

Percutaneous Endoscopic Gastrostomy

A medical procedure that involves inserting a tube through the abdomen into the stomach to provide nutrition.

Jejunostomy Tube

A medical device inserted through the skin into the jejunum (part of the small intestine) to provide nutrition directly.

Esophageal Reflux

A medical condition where stomach acid frequently flows back into the tube connecting the mouth and stomach (esophagus), often causing heartburn.