A client who received a kidney transplant last month is in the nephrology clinic for a follow-up visit. Which education should the nurse provide to the client regarding complications which can arise after a kidney transplant?

"If you experience chronic rejection, you will not be eligible to go back onto the transplant list."

"You are at an increased risk of developing benign prostatic hyperplasia after a transplant."

"You should limit your fluid intake to 1,500 mL per day so your new kidney will not have to work as hard."

"Immunosuppressants can make hypertension worse, so you may need to go on blood pressure medication."

Answer and Explanation

The Correct Answer is D

A.   This is incorrect. While chronic rejection is a serious complication, patients who experience it can often receive another transplant.
B.   This is incorrect and unrelated to kidney transplant.
C.   This is incorrect. Adequate hydration is essential for proper kidney function.
D.   This is correct. Immunosuppressants can contribute to hypertension, a common complication after kidney transplant.

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Correct Answer is B

Explanation

A. This is a pre-renal cause of acute kidney injury, related to decreased blood flow to the kidneys.
B. This is a post-renal cause of acute kidney injury, as it obstructs the outflow of urine.
C. This is an intrarenal cause of acute kidney injury, directly affecting the kidney tissue.
D. This is an intrarenal cause of acute kidney injury, related to damage to the small blood vessels in the kidneys.

A. Calcium gluconate B. Antibiotics C. Tamsulosin D. Phosphate binders

Correct Answer is B

Explanation

A. Calcium gluconate is used to treat or prevent calcium deficiencies and to manage conditions related to calcium imbalances, such as hypocalcemia. It is not typically used to prevent struvite stones.
B. Antibiotics are the most appropriate choice for preventing the recurrence of struvite stones. Since struvite stones are associated with urinary tract infections caused by urease-producing bacteria, antibiotic therapy is aimed at eliminating these infections. By treating or preventing UTIs, the conditions that lead to struvite stone formation are addressed, reducing the likelihood of recurrence.
C. Tamsulosin is an alpha-blocker used to relax the muscles in the prostate and bladder neck to improve urine flow in conditions like benign prostatic hyperplasia (BPH). It is not specifically used for preventing struvite stones.
D. Phosphate binders are used to reduce phosphate levels in the blood, which is important in managing conditions such as chronic kidney disease (CKD) where phosphate levels can be elevated.

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A client who received a kidney transplant last month is in the nephrology clinic for a follow-up visit. Which education should the nurse provide to the client regarding complications which can arise after a kidney transplant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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