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?

Pacemaker

Alcohol use disorder

Breast cancer survivor for 8 years

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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Correct Answer is C

Explanation

A. Ondansetron is an antiemetic commonly used to prevent nausea and vomiting, and it is not typically associated with nephrotoxicity.
B. Diphenhydramine is an antihistamine used for allergy symptoms and as a sleep aid. It is not known to cause nephrotoxicity.
C. Vancomycin is an antibiotic that can cause nephrotoxicity, especially when administered in high doses or in individuals with impaired renal function. Monitoring renal function is crucial when using vancomycin.
D. Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It is not associated with nephrotoxicity.

A. Administer aspirin as prescribed for any sign of hyperthermia. B. Provide a quiet low stimulus environment. C. Keep the client NPO. D. Observe the client carefully for signs of hypocalcemia

Correct Answer is B

Explanation

A. Aspirin administration is not typically indicated for hyperthermia associated with hyperthyroidism as it may displace thyroid hormone from binding proteins.
B. A calm environment can help prevent exacerbation of symptoms and reduce the risk of a thyroid crisis in hyperthyroid clients.
C. There is no indication to keep the client NPO solely based on hyperthyroidism.
D. Hypocalcemia is not a primary concern in hyperthyroidism. Monitoring for signs of hyperthyroid crisis is more pertinent.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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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?