A nurse is caring for a client who has end-stage kidney disease.
The client’s adult child asks the nurse about becoming a living kidney donor for their parent.
Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure?
Osteoarthritis.
Primary glaucoma.
Hypertension.
Amputation.
Amputation.
The Correct Answer is C
Hypertension is a contraindication to living kidney donation because it can increase the risk of kidney disease and cardiovascular complications in the donor. Hypertension can also affect the quality and survival of the donated kidney in the recipient.
Therefore, a potential donor with uncontrolled or poorly controlled hypertension should not undergo a nephrectomy.
Choice A, osteoarthritis, is not a contraindication to living kidney donation.
Osteoarthritis is a degenerative joint disease that does not affect the kidneys or the cardiovascular system.
It may cause pain and stiffness in the joints, but it can be managed with medications and physical therapy. A potential donor with osteoarthritis can donate a kidney if they have normal kidney function and no other medical problems.
Choice B, primary glaucoma, is not a contraindication to living kidney donation.
Primary glaucoma is a condition that causes increased pressure in the eye and can lead to vision loss if untreated.
It does not affect the kidneys or the cardiovascular system. A potential donor with primary glaucoma can donate a kidney if they have normal kidney function and no other medical problems.
Choice D, amputation, is not a contraindication to living kidney donation.
Amputation is the surgical removal of a limb or part of a limb due to injury, infection, or disease.
It does not affect the kidneys or the cardiovascular system. A potential donor with amputation can donate a kidney if they have normal kidney function and no other medical problems.
Normal ranges for blood pressure are less than 120/80 mmHg for systolic and diastolic pressure, respectively.
Normal ranges for kidney function are eGFR above 60 mL/min/1.73 m2 and albuminuria below 30 mg/g.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is because in a mass casualty event, the nurse should prioritize freeing up hospital beds and resources for the incoming clients who might have life-threatening injuries. The nurse should use a triage system, such as SALT (Sort, Assess, Lifesaving Interventions, Treatment/Transport), to determine the medical needs and urgency of the incoming clients.
Choice A is wrong because calling in additional medical-surgical unit nursing care staff is not the nurse’s responsibility. The nurse should follow the hospital’s disaster plan and communicate with the incident command system, which will coordinate the staff allocation and deployment.
Choice B is wrong because acting as a liaison between the facility and the media is not the nurse’s role.
The nurse should focus on providing direct patient care and avoid disclosing any confidential information to the media. The hospital’s public relations department or designated spokesperson should handle the media inquiries.
Choice C is wrong because determining the medical needs of incoming clients through the emergency department is not the nurse’s task.
The nurse should stay on the medical-surgical unit and prepare for receiving clients from the emergency department. The emergency department staff and other designated personnel will perform the initial triage and assessment of the incoming clients.
Correct Answer is D
Explanation
The correct answer is Choice D, "We can provide a copy of your records, but the therapist's notes are not included."
Rationale for Choice A:
- Puts the client on the defensive:Asking "Why are you interested in seeing your therapist's notes?" can make the client feel like they need to justify their request,potentially leading to defensiveness or withdrawal.
- May not uncover true motivation:The client may not feel comfortable revealing their true reasons for wanting to see the notes,and this approach could hinder open communication.
- Undermines client autonomy:It's important to respect the client's right to access their own information,even if it's not always beneficial.Questioning their motives could make them feel less empowered in their treatment.
Rationale for Choice B:
- Paternalistic and dismissive:Saying "I don't think you will benefit from reviewing your therapist's notes right now" assumes that the nurse knows what's best for the client without exploring their perspective.
- Discourages open communication:It shuts down conversation and may prevent the client from expressing their concerns or needs.
- Could damage therapeutic relationship:By dismissing the client's request,the nurse risks eroding trust and rapport,which are essential for effective therapy.
Rationale for Choice C:
- Assumes dissatisfaction with treatment:Asking "Are you not happy with your treatment?" immediately focuses on potential problems rather than understanding the client's motivations.
- May not be accurate:The client's request may not stem from dissatisfaction with treatment but rather from curiosity,a desire for control,or other reasons.
- Could create unnecessary anxiety:Raising concerns about treatment satisfaction without proper exploration could create anxiety or doubts in the client's mind.
Rationale for Choice D:
- Clear and informative:It directly addresses the client's request while providing accurate information about the availability of records.
- Protects therapist's notes:It upholds the therapist's right to maintain confidentiality of their thought processes and clinical impressions.
- Offers alternative solutions:It suggests that the client can access other parts of their record,potentially addressing their underlying need for information.
- Professional and respectful:It maintains professional boundaries and respects the client's right to information without disclosing protected notes.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise, our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.