A client with ESRD is being evaluated for kidney transplantation. The client asks the nurse about the benefits of kidney transplantation compared to dialysis. Which response by the nurse is accurate?
"Kidney transplantation requires lifelong use of immunosuppressant medications."
"Kidney transplantation has a higher risk of infection compared to long-term dialysis."
"Kidney transplantation may not improve your quality of life compared to dialysis."
"Kidney transplantation eliminates the need for dialysis and offers a better chance of long-term survival."
The Correct Answer is D
A. This is incorrect. While kidney transplantation does require the use of immunosuppressant medications to prevent organ rejection, it eliminates the need for dialysis and provides a better chance of long-term survival compared to dialysis alone.
B. This is incorrect. While there is a risk of infection after kidney transplantation, the overall risk of infection is generally higher in clients on long-term dialysis.
C. This is incorrect. Kidney transplantation is associated with improved quality of life compared to dialysis. Transplant recipients often experience increased energy, better dietary freedom, and a decreased reliance on medical appointments compared to dialysis patients.
D. This is correct. Kidney transplantation offers the best chance for long-term survival and eliminates the need for ongoing dialysis. It provides improved quality of life and potential freedom from dietary restrictions, fluid restrictions, and the time-consuming dialysis procedure.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
A. Encouraging the client to avoid talking about their feelings may suppress their emotions and prevent them from seeking appropriate support.
B. This is the correct answer. Depression and feelings of hopelessness require professional mental health intervention. Referring the client to a mental health professional allows for specialized support and counseling to address their emotional needs.
C. While physical exercise can be beneficial for mental health, it is not the primary intervention for addressing clinical depression and feelings of hopelessness.
D. Encouraging the client to rely solely on family for emotional support may not be sufficient to address the severity of their emotional concerns. Professional counseling and therapy are necessary to address clinical depression.
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