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 B

Explanation

A. This is incorrect because ESRD is not a reversible condition. Once the kidneys have reached this stage, their ability to function is permanently lost, and treatment focuses on managing the condition and replacing kidney function through dialysis or transplantation.

B. This is correct. ESRD is the final stage of chronic kidney disease, where the kidneys have lost their ability to function adequately to sustain life. At this stage, the client requires renal replacement therapy such as dialysis or kidney transplantation to survive.

C. This is incorrect because ESRD is not a temporary condition caused by an infection; it is a chronic and irreversible condition.

D. This is incorrect because ESRD is not a condition where the kidneys can recover with proper management. Once the kidneys have reached end-stage, their ability to function is permanently compromised.

A. "You need to accept your condition and follow the treatment plan without resistance." B. "It's essential to stay positive and avoid focusing on negative emotions." C. "Tell me more about your feelings. I'm here to listen and understand what you're going through." D. "Try to think about the positive aspects of your life and avoid dwelling on the negative."

Correct Answer is C

Explanation

A. Telling the client they must accept their condition without resistance may invalidate their emotions and not allow them to express their feelings freely.

B. While positivity is essential, avoiding focusing on negative emotions may hinder therapeutic communication and the client's ability to express their true feelings.

C. This is the correct answer. Therapeutic communication involves active listening and providing a safe space for the client to express their feelings openly. The nurse's statement acknowledges the client's emotions and offers support.

D. Encouraging the client to think about positive aspects and avoid dwelling on the negative may not allow the client to process and express their feelings genuinely.

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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 nurse is providing education to a client recently diagnosed with End-Stage Renal Disease (ESRD. . The client asks, "What does End-Stage Renal Disease mean?" Which response by the nurse is accurate?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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