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 C

Explanation

A. This is incorrect. Peritoneal dialysis typically helps manage fluid and blood pressure imbalances in clients with ESRD.

B. This is incorrect. While blood clots and clotting disorders can be potential complications of ESRD, they are not specifically associated with peritoneal dialysis.

C. This is correct. Peritonitis is a severe and potentially life-threatening complication of peritoneal dialysis. It occurs when the peritoneal cavity, used for dialysis, becomes infected, leading to inflammation and infection at the catheter insertion site.

D. This is incorrect. Electrolyte imbalances and fluid overload can occur with both peritoneal dialysis and hemodialysis. However, peritonitis is a specific complication unique to peritoneal dialysis.

A. Graft rejection leading to potential organ failure B. Incisional pain and discomfort after the surgery C. The risk of developing urinary tract infections D. Short-term complications related to immunosuppressive medications

Correct Answer is A

Explanation

A. This statement is correct. Graft rejection is a significant concern after renal transplantation. If the transplanted kidney is rejected by the recipient's immune system, it can lead to organ failure and the need for additional treatment options.

B. This statement is not the most critical complication to prioritize in the client's education. While incisional pain and discomfort are common after surgery, they are typically managed effectively with pain medications and wound care.

C. This statement is important to discuss, but it is not the most critical complication. Clients will be educated on infection prevention strategies and will undergo regular monitoring for infections.

D. This statement is important to address, but it is not the highest priority. Short-term complications related to immunosuppressive medications can be managed, and the benefits of preventing graft rejection outweigh the risks associated with these medications.

Questions

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

Correct Answer is C

Explanation

A nurse is discussing the potential complications of renal transplantation with a client who is considering the procedure. Which complication should the nurse prioritize in the client's education?

Correct Answer is A

Explanation

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 is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. 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?

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:

A nurse is caring for a client with ESRD who is experiencing anemia. The client asks why they need to take iron supplements as part of their treatment. Which response by the nurse is correct?

A client with ESRD is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

A nurse is educating a client about the purpose of dialysis as a treatment for ESRD. Which statement by the client indicates a correct understanding of dialysis?

A nurse is providing discharge education to a client with ESRD who will require ongoing dialysis treatments. The client expresses concern about how they will manage their condition at home. What should the nurse include in the discharge teaching to promote effective self-care?