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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This statement is incorrect. Limiting potassium intake is not primarily related to preventing dehydration and electrolyte imbalances.
B. This statement is incorrect. While reducing potassium intake can be beneficial for kidney function, it is not the primary reason for limiting potassium in clients with ESRD.
C. This statement is incorrect. Although adequate calcium intake is essential for bone health, it is not the main reason for limiting potassium in ESRD clients.
D. This statement is correct. Clients with ESRD have impaired kidney function, which can lead to decreased potassium excretion. Excess potassium in the bloodstream can result in dangerous heart rhythm disturbances (arrhythmias) and muscle weakness. Limiting dietary potassium helps prevent these complications and maintain a safe level of potassium in the body.
Correct Answer is A
Explanation
A. This is correct. Family history of diabetes is a significant risk factor for the development of ESRD. Diabetes is one of the leading causes of ESRD, and individuals with a family history of diabetes are at increased risk of kidney complications.
B. This is incorrect because being physically active and maintaining a healthy lifestyle do not increase the risk of ESRD. In fact, a healthy lifestyle can help reduce the risk of developing kidney disease.
C. This is incorrect because having a history of frequent kidney stones is not associated with a decreased risk of ESRD. In some cases, recurrent kidney stones may lead to chronic kidney disease, which can progress to ESRD.
D. This is incorrect because high blood pressure (hypertension) is a significant risk factor for the development and progression of ESRD. Uncontrolled hypertension can lead to damage to the blood vessels in the kidneys, contributing to kidney disease.
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