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."
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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Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is C
Explanation
Hypertension is a risk factor for kidney disease. However, it can often be managed with medication. Controlled hypertension is not typically a contraindication for a kidney transplant.
B. If the client has maintained sobriety for a significant period, it might not be a contraindication. A history of alcohol abuse would require careful evaluation but doesn't necessarily preclude transplantation.
C. This is a contraindication for kidney transplantation. Severe heart disease can significantly increase the risks associated with surgery and post-transplant care.
D. Hepatitis C can be a challenge but it's not an absolute contraindication. Many transplant centers have protocols for managing hepatitis C-positive recipients.
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