A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?

Skin rash and itching

Numbness and tingling in extremities

Decreased urine output

Increased blood pressure

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

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.

A. "The donated kidney will be taken from a deceased donor." B. "The donated kidney will be taken from an unrelated living donor." C. "The donated kidney will be taken from a healthy sibling." D. "The donated kidney will be taken from a genetically matched family member."

Correct Answer is A

Explanation

A. This statement is correct. Renal transplantation can involve kidneys from deceased donors who have chosen to donate their organs after their passing.

B. This statement is incorrect. While living donors can donate kidneys, in this scenario, the kidney is from a deceased donor.

C. This statement is incorrect. The donor could be deceased or living, but the kidney in this scenario is from a deceased donor.

D. This statement is incorrect. While genetic matching can be considered in living donor scenarios, it does not apply to deceased donor situations.

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A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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