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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Tolvaptan does not increase the glomerular filtration rate. It actually works by blocking the action of a hormone that causes the kidneys to retain water, leading to increased urine output.
B. While Tolvaptan can slow the progression of polycystic kidney disease (PKD) and delay the need for dialysis or transplant, it does not guarantee prevention of these outcomes.
C. Tolvaptan is used to slow the growth of kidney cysts in patients with PKD.
D. Hyponatremia is a common side effect of Tolvaptan due to increased water loss through urine. However, this is not the primary role.

A. Potassium will be removed from the body and excreted in the stool. B. The heart will be protected from dysrhythmias while the serum potassium is elevated. C. Potassium will temporarily shift from the blood into the cells. D. Serum potassium levels will increase further due to this medication being administered.

Correct Answer is B

Explanation

A. Calcium gluconate does not directly affect the elimination of potassium from the body or its excretion in the stool. It does not act on the kidneys or gastrointestinal tract to remove potassium. Its primary role is to stabilize the cardiac membrane.
B. Calcium gluconate stabilizes the cardiac membrane and reduces the risk of dysrhythmias associated with elevated serum potassium levels. Hyperkalemia can increase the risk of cardiac arrhythmias, and calcium gluconate helps to counteract these effects by protecting the heart muscle.
C. Calcium gluconate does not cause potassium to shift from the blood into the cells. The shift of potassium into cells is typically induced by other treatments such as insulin and glucose or beta- agonists. Calcium gluconate does not have this effect.
D. Calcium gluconate does not increase serum potassium levels. It primarily serves to protect the heart from the effects of high potassium levels. It does not have a direct effect on the potassium level itself but helps manage the consequences of hyperkalemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with polycystic kidney disease is prescribed the medication Tolvaptan. What should the nurse include when educating the client about this medication.

Correct Answer is C

Explanation

A client with acute kidney injury (AKI) has a serum potassium level of 6.5 mEq/L. The nurse recognizes that administering IV calcium gluconate to this client will result in which of the following effects?

Correct Answer is B

Explanation

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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?

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