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 B

Explanation

A. This is incorrect because ESRD is not a reversible condition. Once the kidneys have reached this stage, their ability to function is permanently lost, and treatment focuses on managing the condition and replacing kidney function through dialysis or transplantation.

B. This is correct. ESRD is the final stage of chronic kidney disease, where the kidneys have lost their ability to function adequately to sustain life. At this stage, the client requires renal replacement therapy such as dialysis or kidney transplantation to survive.

C. This is incorrect because ESRD is not a temporary condition caused by an infection; it is a chronic and irreversible condition.

D. This is incorrect because ESRD is not a condition where the kidneys can recover with proper management. Once the kidneys have reached end-stage, their ability to function is permanently compromised.

A. "Herbal supplements are safe to use and have no impact on your kidney function." B. "Regular use of herbal supplements can interact with medications and worsen kidney function." C. "Herbal supplements are not regulated, but they are unlikely to affect your kidney health." D. "Using herbal supplements can replace the need for other medications in managing ESRD."

Correct Answer is B

Explanation

A. This is incorrect. Herbal supplements are not always safe, and some can have adverse effects on kidney function, especially if used in excessive amounts or in combination with certain medications.

B. This is correct. Regular use of herbal supplements can potentially interact with medications, including those prescribed for kidney disease, and worsen kidney function. Some herbal supplements may have diuretic properties or may be metabolized by the kidneys, leading to potential complications for individuals with ESRD.

C. This is incorrect. Herbal supplements are not regulated by the U.S. Food and Drug Administration (FDA. , and their safety and efficacy may vary. Some herbal supplements have been associated with adverse effects on kidney health and may not be as benign as the client assumes.

D. This is incorrect. Herbal supplements should not be considered as replacements for prescribed medications in managing ESRD. The client should always consult with their healthcare provider before starting or continuing the use of herbal supplements to ensure they are safe and appropriate for their medical condition.

Questions

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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

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Explanation

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Explanation

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