A client with ESRD is scheduled for a renal transplant. The nurse should provide preoperative education about the importance of compliance with immunosuppressive medications following the surgery to:
Prevent the body from rejecting the transplanted kidney
Reduce the risk of infections in the donor and recipient
Avoid complications during the surgery and promote wound healing
Improve the function of the native kidneys and minimize the need for dialysis
The Correct Answer is A
A. This statement is correct. Immunosuppressive medications are crucial after a renal transplant to prevent the body's immune system from attacking and rejecting the transplanted kidney.
B. This statement is not directly related to the need for immunosuppressive medications. While infection prevention is essential, immunosuppressive medications serve a different purpose.
C. This statement is incorrect. Immunosuppressive medications are not directly related to complications during surgery or wound healing.
D. This statement is incorrect. Immunosuppressive medications are not intended to improve the function of native kidneys. Their primary purpose is to prevent rejection of the transplanted kidney.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This is incorrect. A history of cardiovascular disease can increase the risk of developing ESRD. Cardiovascular disease and kidney disease often share common risk factors, such as hypertension and diabetes, which can contribute to the progression of both conditions.
B. This is incorrect. While the chronic use of certain medications can potentially harm the kidneys, it is not a common risk factor for the development of ESRD. Medications like NSAIDs are more directly associated with kidney injury and acute kidney damage rather than the development of ESRD.
C. This is correct. Cardiovascular disease is a significant risk factor for the development of ESRD. Chronic kidney disease and cardiovascular disease often coexist and share common risk factors. Cardiovascular disease can lead to impaired blood flow to the kidneys, contributing to kidney damage and dysfunction.
D. This is incorrect. While having a family history of gout can be associated with an increased risk of kidney stones and kidney damage, it is not a common risk factor for the development of ESRD.
Correct Answer is C
Explanation
A. This is not the priority assessment for this client. Skin rash and itching are common in ESRD due to the accumulation of waste products in the bloodstream, but it is not the most critical finding among the options given.
B. This is not the priority assessment for this client. Numbness and tingling in extremities can be related to neuropathy, which can occur in ESRD, but it is not the most critical finding among the options given.
C. This is the priority assessment for the client with ESRD. Decreased urine output is a significant symptom of kidney failure and requires immediate attention. It may indicate worsening kidney function or complications that need to be addressed promptly.
D. This is not the priority assessment for this client. While increased blood pressure can be a complication of ESRD, decreased urine output takes precedence in this situation.
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