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 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.

A. Hypertension and high blood pressure B. Increased risk of blood clots and clotting disorders C. Peritonitis and infection at the catheter insertion site D. Electrolyte imbalances and fluid overload

Correct Answer is C

Explanation

A. This is incorrect. Peritoneal dialysis typically helps manage fluid and blood pressure imbalances in clients with ESRD.

B. This is incorrect. While blood clots and clotting disorders can be potential complications of ESRD, they are not specifically associated with peritoneal dialysis.

C. This is correct. Peritonitis is a severe and potentially life-threatening complication of peritoneal dialysis. It occurs when the peritoneal cavity, used for dialysis, becomes infected, leading to inflammation and infection at the catheter insertion site.

D. This is incorrect. Electrolyte imbalances and fluid overload can occur with both peritoneal dialysis and hemodialysis. However, peritonitis is a specific complication unique to peritoneal dialysis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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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?

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