A nurse is caring for a client who has end-stage kidney disease who will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact quality of life? (Select All that Apply.)

Rationale: A. Clients with end-stage kidney disease (ESKD) must restrict foods high in potassium, sodium, and phosphorus to prevent electrolyte imbalances, fluid overload, and bone-mineral disorders. Dietary restrictions can significantly affect quality of life because they limit many common foods (e.g., bananas, dairy, tomatoes, processed foods). B. Airplane travel is not restricted for clients receiving hemodialysis. Travel can be arranged around treatment schedules or coordinated with dialysis centers in other locations. C. Fluid restriction is necessary to prevent fluid overload, hypertension, and pulmonary edema. Limiting fluids can be physically and emotionally challenging, often affecting comfort and daily routines. D. Driving restrictions are not routinely required for hemodialysis clients unless other conditions (e.g., severe fatigue, hypotension post-dialysis, or cognitive impairment) interfere with safe driving. E. Time constraints are a major quality-of-life issue because hemodialysis typically requires treatments three times per week, lasting 3–5 hours per session. This limits flexibility for work, social life, and travel. F. Clients do not need to limit social activities to a set frequency; participation is encouraged as tolerated and helps maintain psychological well-being.