Question

Initial action for chronic kidney disease (CKD) of clients who is refusing to take his medication and has missed two hemodialysis appointments?

Answer 1

The initial action for the nurse is to assess anxiety, coping styles, and the client's acceptance of the required treatment for Chronic Kidney Disease. The client may be in denial of the diagnosis. While rescheduling hemodialysis appointments may help, and referral to a mental health practitioner and the possibility of peritoneal dialysis are all viable options, assessment of the client's acceptance of the treatment should come first.