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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Social drinking of alcohol: While excessive alcohol consumption can irritate the stomach lining, social drinking is not as strongly associated with peptic ulcer disease as NSAID use.

B. Diet high in fiber and vegetables: A diet high in fiber and vegetables is generally protective against gastrointestinal issues and is not associated with an increased risk of PUD.

C. Frequent use of nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs are one of the most common causes of peptic ulcers. They can damage the stomach lining and increase acid production, leading to ulcers.

D. History of seasonal allergies: Seasonal allergies have no direct link to the development of peptic ulcers and are not a risk factor for PUD.

A. Provide emotional support. B. Review stress factors that can cause disease exacerbation. C. Promote physical mobility. D. Evaluate fluid and electrolyte levels.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female patient presents with epigastric pain and is being evaluated for peptic ulcer disease (PUD). Upon reviewing her history, which of the following risk factors would be most indicative of increasing his likelihood of developing PUD?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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