A nurse is caring for a client who has chronic kidney disease and is scheduled to begin hemodialysis twice a week. Which of the following actions should the nurse take?

Nursing care for a client with Chronic kidney disease beginning hemodialysis focuses not only on physiologic management but also on emotional support and psychosocial adaptation. Initiation of dialysis is a major life adjustment that affects independence, lifestyle, and self-perception. Clients often experience anxiety, fear, grief, or uncertainty about long-term treatment. Therapeutic communication is essential to help the client cope effectively and engage in their care plan. Rationale: A. Informing the client that they will eventually return to their previous level of activity is inappropriate because chronic kidney disease is progressive and irreversible. Hemodialysis manages symptoms and replaces some kidney function but does not restore normal renal function. Providing false reassurance can damage trust and hinder realistic coping and planning. B. Asking the client to express how they are feeling is appropriate because it encourages therapeutic communication and emotional expression. This allows the nurse to assess the client’s psychological response, identify coping needs, and provide appropriate support. It helps the client process the transition to long-term dialysis in a supportive environment. C. Explaining that hemodialysis will reverse the effects of chronic kidney disease is incorrect because dialysis does not cure or reverse kidney damage. It is a life-sustaining treatment that removes waste products and excess fluid but does not restore nephron function. Providing accurate information is essential for informed decision-making and realistic expectations. D. Assuring the client that they will not have dietary restrictions is incorrect because clients on hemodialysis require specific dietary management. Restrictions typically include limits on sodium, potassium, phosphorus, and fluid intake to prevent complications such as hyperkalemia and fluid overload. Nutrition counseling is a key component of dialysis care.