Question

A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Which of the following information should the nurse provide?

A.Kidney donation must come from a living donor.
B.Immunosuppressive therapy is necessary until the donated kidney begins producing urine.
C.Hemodialysis is sometimes required following surgery.
D.Kidney transplant recipients can resume their regular diet following surgery.

Answer 1

A nurse should inform a patient with end-stage kidney disease that post-transplant, hemodialysis may be necessary, immunosuppressive therapy is a long-term requirement to prevent rejection of the new kidney, and a modified diet must be followed.

Step-by-step explanation:

The correct information a nurse should provide to a client who has end-stage kidney disease and is awaiting a kidney transplant is that hemodialysis is sometimes required following surgery. This is vital because even after a successful transplant, the new kidney may take some time to start working properly, and in the meantime, dialysis can help to remove waste products and excess fluid from the blood.

Blood relatives are often preferred as organ donors because they are more likely to share similar antigens, reducing the risk of organ rejection. After a kidney transplant, the recipient’s immune system may perceive the new organ as foreign and attack it. To prevent this, immunosuppressive therapy is required. This therapy is crucial not just until the kidney starts producing urine, but it must be continued long-term to prevent organ rejection.

It's important to note that kidney donation can come from both living donors and deceased donors. Also, post-transplant, recipients must adhere to a modified diet and follow strict dietary guidelines rather than returning immediately to their regular diet to ensure the best possible outcome for the transplanted organ.