A client with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. Which response by the nurse is accurate?

"The kidney will be removed from the donor's body and transported to the recipient for transplantation."

"The donor and recipient will be in the same operating room for the simultaneous transplantation."

"The donor's kidney will be transplanted into your lower abdomen, and your native kidneys will be removed."

"The donor's kidney will be transplanted on the same side as your native failed kidney."

Answer and Explanation

The Correct Answer is C

A. This statement is incorrect. In living donor kidney transplantation, the donor's kidney is surgically removed and transplanted directly into the recipient's body during the same surgical procedure.

B. This statement is incorrect. While both the donor and recipient will undergo surgeries simultaneously, they will be in separate operating rooms.

C. This statement is correct. During the kidney transplant, the donor's kidney is placed in the recipient's lower abdomen, and the recipient's native kidneys, if present and non-functional, may be removed or left in place, depending on the circumstances.

D. This statement is incorrect. The donor's kidney is typically transplanted into the lower abdomen on the opposite side from the recipient's native failed kidney to ensure proper blood supply and surgical access.

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Correct Answer is C

Explanation

A. This is not directly related to the client's successful home-based peritoneal dialysis. While companionship is essential for many clients, it is not a critical factor for dialysis treatment.

B. This is not the most appropriate factor to assess for home-based peritoneal dialysis. Availability of transportation is crucial for clients who may need to travel for hemodialysis sessions, not for clients undergoing peritoneal dialysis at home.

C. This is correct. Access to a reliable electricity source is crucial for home-based peritoneal dialysis since the peritoneal dialysis machine requires electricity to function properly. The machine helps with the exchange of dialysate, which is necessary for effective treatment.

D. This is not directly related to home-based peritoneal dialysis. While proximity to a local hospital or medical facility is always important for any client, it is not a primary factor for choosing home-based peritoneal dialysis as a treatment option.

Questions

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 with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. Which response by the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

A client with ESRD is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

Correct Answer is C

Explanation

A nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?

Correct Answer is B

Explanation

A client with ESRD expresses feelings of anger and frustration about the treatment regimen and lifestyle changes. The nurse recognizes the importance of therapeutic communication to support the client effectively. Which nursing statement is most appropriate?

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A client with ESRD is expressing frustration and lack of motivation in adhering to their treatment plan. The nurse recognizes the importance of motivation in managing the disease effectively. What intervention should the nurse implement to enhance the client's motivation?

A nurse is providing education to a client diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What are the common causes of ESRD?" Which response by the nurse is accurate?

A nurse is educating a client with ESRD about the importance of adhering to the prescribed medication regimen. The client asks why they need to take phosphate binders. Which response by the nurse is correct?

A client with ESRD is considering peritoneal dialysis as a renal replacement therapy. The client asks the nurse about the advantages of peritoneal dialysis. Which response by the nurse is accurate?

A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?

A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?