The community health nurse is designing programs to reduce kidney problems and kidney injury among the general public. In order to do so, the nurse target health promotion and compliance with therapy for people with which condition?

Rationale: A. Frequent episodes of sexually transmitted diseases (STDs) can cause localized infections of the urinary tract or reproductive organs, but they rarely lead to chronic kidney disease (CKD) unless they progress to severe or untreated pyelonephritis. B. Osteoporosis and other bone diseases do not directly affect kidney function. Although CKD can cause bone disorders due to calcium and phosphate imbalance, bone disease itself is not a cause of kidney injury. C. Gastroenteritis and poor eating habits may cause dehydration or temporary renal stress, but these effects are usually reversible and not a major cause of chronic renal disease. D. Diabetes mellitus and hypertension are the most common causes of kidney damage and kidney failure. Uncontrolled blood sugar and blood pressure damage renal blood vessels and nephrons, leading to CKD. Therefore, the nurse should target prevention and management of these conditions to reduce kidney injury in the community.