A client who received a kidney transplant last month is in the nephrology clinic for a follow-up visit. Which education should the nurse provide to the client regarding complications which can arise after a kidney transplant?
"If you experience chronic rejection, you will not be eligible to go back onto the transplant list."
"You are at an increased risk of developing benign prostatic hyperplasia after a transplant."
"You should limit your fluid intake to 1,500 mL per day so your new kidney will not have to work as hard."
"Immunosuppressants can make hypertension worse, so you may need to go on blood pressure medication."
The Correct Answer is D
A.    This is incorrect. While chronic rejection is a serious complication, patients who experience it can often receive another transplant.
B.    This is incorrect and unrelated to kidney transplant.
C.    This is incorrect. Adequate hydration is essential for proper kidney function.
D.    This is correct. Immunosuppressants can contribute to hypertension, a common complication after kidney transplant.
 
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. BPH is a common condition in older men that causes the prostate gland to enlarge, obstructing the urethra and leading to difficulty urinating, urinary retention, and pelvic pain. The symptoms described, including urinary frequency, weak urinary stream, severe pelvic pain, and a significantly elevated post- void residual urine volume, are consistent with BPH.
B. ESRD can cause urinary symptoms. However, the presentation in this case is more consistent with a urinary obstruction, not a kidney failure issue. ESRD typically involves more systemic symptoms like fatigue, edema, and electrolyte imbalances.
C. This is unlikely given the patient's age and lack of significant comorbidities. Additionally, the primary issue appears to be urinary obstruction, not a decrease in renal perfusion.
D. This is a chronic condition that typically presents with flank pain, and it does not usually cause acute urinary retention.
Correct Answer is B
Explanation
A. This is a pre-renal cause of acute kidney injury, related to decreased blood flow to the kidneys.
B. This is a post-renal cause of acute kidney injury, as it obstructs the outflow of urine.
C. This is an intrarenal cause of acute kidney injury, directly affecting the kidney tissue.
D. This is an intrarenal cause of acute kidney injury, related to damage to the small blood vessels in the kidneys.
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