A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?
A client who has a pacemaker
A client who has a history of IV drug abuse
A client who has a body mass index (BMI) of 25
A client who is 65 years old
The Correct Answer is B
A. A client who has a pacemaker: Having a pacemaker is not a contraindication for renal transplantation. As long as the patient is otherwise healthy and able to tolerate surgery, a pacemaker does not preclude the procedure.
B. A client who has a history of IV drug abuse: IV drug abuse is a contraindication for renal transplant due to the potential for poor compliance with post-transplant care and higher risk for recurrent infections and complications.
C. A client who has a body mass index (BMI) of 25: A BMI of 25 is within the normal to slightly overweight range. A BMI of 30 or higher may be a concern due to increased risks during surgery, but a BMI of 25 is not a contraindication.
D. A client who is 65 years old: Age alone is not a contraindication for a renal transplant. While younger patients may have better outcomes, transplants are performed on older patients if they are otherwise good candidates and able to tolerate the surgery and long-term immunosuppressive therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The gallbladder became infected by a virus and needs to be removed: Gallstones are not caused by a viral infection.
B. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct: While gallstones can obstruct the bile duct, leading to inflammation, the best explanation relates to cholesterol as the main cause of stone formation.
C. The gallbladder has become blocked by a tumor and is no longer working: Tumors are not a common cause of gallstones or cholecystitis.
D. The gallbladder has become inflamed due to the cholesterol in the gallstones. Gallstones are typically formed from cholesterol and bile salts. When there is too much cholesterol in the bile, it can form stones that may lead to inflammation of the gallbladder (cholecystitis).
Correct Answer is D
Explanation
A. Provide emotional support: While emotional support is important, addressing physical health issues like fluid and electrolyte balance takes priority during an acute exacerbation.
B. Review stress factors that can cause disease exacerbation: This is important for long-term management but is not the immediate priority during an acute exacerbation.
C. Promote physical mobility: Physical mobility may be limited due to pain or weakness, but it is not the primary concern during an exacerbation.
D. Evaluate fluid and electrolyte levels. Fluid and electrolyte imbalances are common during an exacerbation of ulcerative colitis due to diarrhea and bleeding, making it the top priority to assess and manage to prevent complications such as dehydration or hypovolemia.
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