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?

Graft rejection leading to potential organ failure

Incisional pain and discomfort after the surgery

The risk of developing urinary tract infections

Short-term complications related to immunosuppressive medications

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is A

Explanation

A. This is correct. Hemodialysis is a renal replacement therapy that uses a dialysis machine to remove waste products, toxins, and excess fluid from the bloodstream when the kidneys are no longer able to do so effectively.

B. This is incorrect. While hemodialysis may have some effect on blood pressure, its primary purpose is to replace kidney function in filtering waste products

and maintaining fluid balance.

C. This is incorrect. Hemodialysis does not stimulate the kidneys to produce more urine. It directly filters the blood to remove toxins and fluid.

D. This is incorrect. Hemodialysis does not involve surgical replacement of damaged kidneys. It is a non-surgical procedure performed in a dialysis center using a dialysis machine.

A. "I should limit my fluid intake to prevent fluid overload and swelling." B. "I need to restrict my protein intake to protect my kidneys." C. "I will avoid foods high in potassium to prevent dangerous levels in my blood." D. "I should consume foods low in phosphorus to protect my bones."

Correct Answer is B

Explanation

A. This is correct. Clients with ESRD need to limit their fluid intake to prevent fluid overload, which can lead to swelling, shortness of breath, and heart-related issues.

B. This is incorrect. Protein intake needs to be monitored and adjusted, but it is not restricted entirely. Protein is essential for the body, and malnutrition should be avoided in clients with ESRD. However, high protein intake can put additional strain on the kidneys, so moderation is key.

C. This is correct. Clients with ESRD should avoid foods high in potassium, as elevated potassium levels can lead to life-threatening cardiac arrhythmias. Limiting potassium intake helps maintain potassium levels within a safe range.

D. This is correct. Consuming foods low in phosphorus is crucial for clients with ESRD. High phosphorus levels can lead to complications such as bone disease, so managing phosphorus intake is essential.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD is receiving hemodialysis. The client asks the nurse about the purpose of this treatment. Which response by the nurse is accurate?

Correct Answer is A

Explanation

A nurse is educating a client with ESRD about the importance of adhering to a renal diet. Which statement by the client indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is providing education to a client diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What are the common causes of ESRD?" Which response by the nurse is accurate?

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

A client with chronic kidney disease (CKD. asks the nurse about the risk factors that may accelerate the progression of kidney disease. Which response by the nurse is accurate?

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