A nurse is discussing living donor kidney transplantation with a client who has a family member willing to donate a kidney. The client expresses concerns about the potential risks to the living donor. What should the nurse explain to the client about the evaluation process for living donors?

"Living donors undergo a thorough physical evaluation to ensure they are at minimal risk for complications."

"Living donors must have a close genetic match to the recipient to prevent organ rejection."

"Living donors are typically limited to close family members only, such as siblings or parents."

"Living donors must have the same blood type as the recipient for a successful transplant."

Answer and Explanation

The Correct Answer is A

A. This statement is correct. Living donors undergo a comprehensive physical and psychological evaluation to ensure they are in good health and at minimal risk for complications after the surgery.

B. This statement is incorrect. While genetic matching can be considered in some cases, it is not the primary factor in the evaluation process for living donors.

C. This statement is incorrect. Living donors can be unrelated individuals, such as friends or even altruistic donors, as long as they meet the necessary health criteria.

D. This statement is incorrect. Blood type compatibility is essential for a successful transplant, but it is not the only consideration in the evaluation process for living donors.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. This is correct. Peritoneal dialysis involves the insertion of a catheter into the peritoneal cavity, and there is a risk of bleeding at the insertion site. The nurse should closely monitor for any signs of hemorrhage or infection at the catheter site.

B. This is incorrect. Hypoglycemia and blood glucose fluctuations are not common complications of peritoneal dialysis. However, clients with diabetes may need adjustments in their diabetes management during peritoneal dialysis.

C. This is incorrect. Electrolyte imbalances and fluid overload are potential complications of both hemodialysis and peritoneal dialysis. While electrolyte imbalances can occur with peritoneal dialysis, hemorrhage at the catheter insertion site is a more specific concern for this type of dialysis.

D. This is incorrect. Impaired respiratory function and lung collapse are not typical complications of peritoneal dialysis. These are more commonly associated with other respiratory conditions and not directly related to peritoneal dialysis.

Questions

A. "A preemptive transplant increases the risk of surgical complications and infection." B. "A preemptive transplant allows you to avoid the need for immunosuppressive medications." C. "A preemptive transplant can improve long-term survival and enhance the success of the transplant." D. "A preemptive transplant is only recommended for clients who are not eligible for dialysis."

Correct Answer is C

Explanation

A. This statement is incorrect. While all surgeries carry some risk, a preemptive transplant is not associated with increased risks of surgical complications and infection compared to a transplant after dialysis initiation.

B. This statement is incorrect. Regardless of the timing of the transplant, recipients will need to take immunosuppressive medications to prevent rejection.

C. This statement is correct. Preemptive transplantation can offer better long-term outcomes, including improved survival rates and a higher likelihood of success compared to a transplant performed after dialysis initiation.

D. This statement is incorrect. Preemptive transplantation is considered as an option for eligible candidates who have ESRD but have not yet started dialysis.

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A nurse is discussing living donor kidney transplantation with a client who has a family member willing to donate a kidney. The client expresses concerns about the potential risks to the living donor. What should the nurse explain to the client about the evaluation process for living donors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

Correct Answer is A

Explanation

A client is considering a preemptive renal transplant before requiring dialysis. The client asks the nurse about the advantages of this approach. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A client with end-stage renal disease (ESRD. is considering renal transplantation as a treatment option. The client asks the nurse about the advantages of this procedure. Which response by the nurse is accurate?

A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

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

A client with ESRD is considering peritoneal dialysis as a renal replacement therapy. The client asks the nurse about the advantages of peritoneal dialysis. Which response by the nurse is accurate?

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 asks the nurse about the common symptoms they may experience. Which response by the nurse is accurate?

A client with ESRD asks the nurse about the potential complications they may face. Which response by the nurse is accurate?

A client with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. Which response by the nurse is accurate?