A client is considering a preemptive renal transplant before requiring dialysis. The client asks the nurse about the advantages of this approach. Which response by the nurse is accurate?

"A preemptive transplant increases the risk of surgical complications and infection."

"A preemptive transplant allows you to avoid the need for immunosuppressive medications."

"A preemptive transplant can improve long-term survival and enhance the success of the transplant."

"A preemptive transplant is only recommended for clients who are not eligible for dialysis."

Answer and Explanation

The Correct Answer is C

A. This statement is incorrect. While all surgeries carry some risk, a preemptive transplant is not associated with increased risks of surgical complications and infection compared to a transplant after dialysis initiation.

B. This statement is incorrect. Regardless of the timing of the transplant, recipients will need to take immunosuppressive medications to prevent rejection.

C. This statement is correct. Preemptive transplantation can offer better long-term outcomes, including improved survival rates and a higher likelihood of success compared to a transplant performed after dialysis initiation.

D. This statement is incorrect. Preemptive transplantation is considered as an option for eligible candidates who have ESRD but have not yet started dialysis.

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Correct Answer is A

Explanation

A. This statement is correct. Immunosuppressive medications are crucial after a renal transplant to prevent the body's immune system from attacking and rejecting the transplanted kidney.

B. This statement is not directly related to the need for immunosuppressive medications. While infection prevention is essential, immunosuppressive medications serve a different purpose.

C. This statement is incorrect. Immunosuppressive medications are not directly related to complications during surgery or wound healing.

D. This statement is incorrect. Immunosuppressive medications are not intended to improve the function of native kidneys. Their primary purpose is to prevent rejection of the transplanted kidney.

A. Encourage the client to avoid talking about their feelings to prevent dwelling on negative emotions. B. Refer the client to a mental health professional for counseling and therapy. C. Advise the client to engage in strenuous physical exercise to distract from their emotions. D. Encourage the client to rely solely on family for emotional support.

Correct Answer is B

Explanation

A. Encouraging the client to avoid talking about their feelings may suppress their emotions and prevent them from seeking appropriate support.

B. This is the correct answer. Depression and feelings of hopelessness require professional mental health intervention. Referring the client to a mental health professional allows for specialized support and counseling to address their emotional needs.

C. While physical exercise can be beneficial for mental health, it is not the primary intervention for addressing clinical depression and feelings of hopelessness.

D. Encouraging the client to rely solely on family for emotional support may not be sufficient to address the severity of their emotional concerns. Professional counseling and therapy are necessary to address clinical depression.

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A client is considering a preemptive renal transplant before requiring dialysis. The client asks the nurse about the advantages of this approach. Which response by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD is scheduled for a renal transplant. The nurse should provide preoperative education about the importance of compliance with immunosuppressive medications following the surgery to:

Correct Answer is A

Explanation

A nurse is caring for a client with ESRD who is experiencing depression and feelings of hopelessness. Which intervention is appropriate to provide emotional support?

Correct Answer is B

Explanation

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