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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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.

A. "Your feelings are unwarranted; your family wants to help you and be there for you." B. "It's natural to feel that way, but try not to focus on it. Your family loves you and wants to support you." C. "You should try to hide these feelings from your family to avoid causing them additional stress." D. "You should rely more on your friends than your family for support to ease the burden on them."

Correct Answer is B

Explanation

A. This response is not helpful. Telling the client that their feelings are unwarranted may invalidate their emotions and not address their concerns.

B. This response is appropriate. Validating the client's feelings while reassuring them of their family's support can help the client feel understood and less burdened by their emotions.

C. This response is not appropriate. Encouraging the client to hide their feelings from their family can lead to emotional suppression and may hinder open communication.

D. This response is not appropriate. Encouraging the client to rely more on friends than family for support may not be practical or address the client's feelings of guilt and burden.

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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 providing preoperative education to a client who is scheduled for a renal transplant. The client asks about the source of the donated kidney. Which response by the nurse is accurate?

Correct Answer is A

Explanation

A client with ESRD has started hemodialysis and is struggling with the treatment's lifestyle disruptions and the impact on their family relationships. The client expresses feelings of guilt and burdening their family. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

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A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?

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