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?

"The donated kidney will be taken from a deceased donor."

"The donated kidney will be taken from an unrelated living donor."

"The donated kidney will be taken from a healthy sibling."

"The donated kidney will be taken from a genetically matched family member."

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is B

Explanation

A. Encouraging the client to share their feelings with friends and family is essential, but connecting with individuals experiencing similar challenges in a support group can provide the client with additional understanding and emotional support.

B. This is the correct answer. Support groups provide an opportunity for clients with ESRD to share their experiences, learn coping strategies from others, and realize they are not alone in their struggles, which can alleviate feelings of isolation and provide emotional support.

C. Advising the client to limit social interactions can exacerbate feelings of isolation and loneliness, which is not helpful in providing appropriate support.

D. While it is essential to reassure the client that feeling overwhelmed is normal, attending a support group can provide them with practical strategies for coping with these emotions.

A. "Kidney transplantation requires lifelong use of immunosuppressant medications." B. "Kidney transplantation has a higher risk of infection compared to long-term dialysis." C. "Kidney transplantation may not improve your quality of life compared to dialysis." D. "Kidney transplantation eliminates the need for dialysis and offers a better chance of long-term survival."

Correct Answer is D

Explanation

A. This is incorrect. While kidney transplantation does require the use of immunosuppressant medications to prevent organ rejection, it eliminates the need for dialysis and provides a better chance of long-term survival compared to dialysis alone.

B. This is incorrect. While there is a risk of infection after kidney transplantation, the overall risk of infection is generally higher in clients on long-term dialysis.

C. This is incorrect. Kidney transplantation is associated with improved quality of life compared to dialysis. Transplant recipients often experience increased energy, better dietary freedom, and a decreased reliance on medical appointments compared to dialysis patients.

D. This is correct. Kidney transplantation offers the best chance for long-term survival and eliminates the need for ongoing dialysis. It provides improved quality of life and potential freedom from dietary restrictions, fluid restrictions, and the time-consuming dialysis procedure.

Questions

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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?

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Naxlex Comprehensive Predictor Exams

A client with End-Stage Renal Disease (ESRD. is feeling overwhelmed and anxious about the treatment and lifestyle changes. The nurse notices the client isolating themselves and avoiding interactions with others. What should the nurse do to provide appropriate support?

Correct Answer is B

Explanation

A client with ESRD is being evaluated for kidney transplantation. The client asks the nurse about the benefits of kidney transplantation compared to dialysis. Which response by the nurse is accurate?

Correct Answer is D

Explanation

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