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A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD).

Which of the following should the nurse identify as a contraindication for this treatment?

A.

Pacemaker

B.

Alcohol use disorder

C.

Breast cancer survivor for 8 years

D.

65 years of age

Answer and Explanation

The Correct Answer is B

A.    Having a pacemaker is not a contraindication for kidney transplant unless there are significant underlying cardiac issues that would increase the risks associated with surgery.
B.    Chronic alcohol abuse can lead to multiple organ damage and increased surgical risks, making it a contraindication for kidney transplant. 
C.    Being a breast cancer survivor is not a contraindication for kidney transplant unless there are active cancer or metastases that would affect surgical outcomes.
D.    Age alone is not a contraindication for kidney transplant. The decision for transplant candidacy is based on overall health status and comorbidities rather than age alone.
 


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Related Questions

Correct Answer is B

Explanation

A. Postoperative ileus and NG tube drainage are not typically associated with decreased calcium levels.
B. The nurse should monitor for electrolyte imbalances, particularly a decreased potassium level. This is because the gastrointestinal tract, especially the stomach, contains a high concentration of potassium, and substantial losses can occur with ongoing gastric suctioning.
C. NG tube drainage does not typically result in elevated sodium levels.
D. NG tube drainage does not typically result in elevated magnesium levels.

Correct Answer is A

Explanation

A. A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
B. This amount of urine output over 24 hours is within normal range and does not typically warrant immediate notification unless there are other concerning symptoms.
C. Cloudy urine may indicate the presence of urinary tract infection or other issues, but it alone may not require immediate notification of the provider.
D. While strong-smelling urine can be indicative of various conditions, it alone may not necessitate immediate provider notification unless accompanied by other concerning symptoms.

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