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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Avoiding addressing stressors can lead to emotional suppression and may increase feelings of burden and isolation, not providing effective coping strategies.

B. Suppressing emotions is not a healthy coping mechanism and may lead to increased stress and emotional strain over time.

C. This is the correct answer. Deep breathing exercises and mindfulness techniques are evidence-based stress management strategies that can help the client manage stress more effectively and promote emotional well-being.

D. While physical activity is essential for overall health, excessive physical activity may not address the root cause of stress and can lead to physical exhaustion.

A. Graft rejection leading to potential organ failure B. Incisional pain and discomfort after the surgery C. The risk of developing urinary tract infections D. Short-term complications related to immunosuppressive medications

Correct Answer is A

Explanation

A. This statement is correct. Graft rejection is a significant concern after renal transplantation. If the transplanted kidney is rejected by the recipient's immune system, it can lead to organ failure and the need for additional treatment options.

B. This statement is not the most critical complication to prioritize in the client's education. While incisional pain and discomfort are common after surgery, they are typically managed effectively with pain medications and wound care.

C. This statement is important to discuss, but it is not the most critical complication. Clients will be educated on infection prevention strategies and will undergo regular monitoring for infections.

D. This statement is important to address, but it is not the highest priority. Short-term complications related to immunosuppressive medications can be managed, and the benefits of preventing graft rejection outweigh the risks associated with these medications.

Questions

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

Correct Answer is C

Explanation

A nurse is discussing the potential complications of renal transplantation with a client who is considering the procedure. Which complication should the nurse prioritize in the client's education?

Correct Answer is A

Explanation

A client diagnosed with polycystic kidney disease (PKD. asks the nurse about the cause of their condition. Which response by the nurse is accurate?

A client with ESRD is undergoing continuous ambulatory peritoneal dialysis (CAPD. . The nurse should educate the client about which essential aspect of CAPD to minimize the risk of complications?

A client with ESRD has started hemodialysis and is struggling with the treatment's lifestyle disruptions and the impact on their family relationships. The client expresses feelings of guilt and burdening their family. Which response by the nurse is appropriate?

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 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 nurse is educating a client with ESRD about the importance of adhering to a renal diet. Which statement by the client indicates a need for further teaching?

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 client with ESRD asks the nurse about treatment options. Which statement by the nurse is accurate?