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A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

A.

Breast cancer survivor for 8 years.

B.

65 years of age.

C.

Alcohol use disorder.

D.

Pacemaker.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A breast cancer survivor for 8 years without recurrence is generally considered for transplantation if otherwise healthy.

 

Choice B rationale

Age 65 is not an absolute contraindication for kidney transplantation. Many factors such as overall health status are considered.

 

Choice C rationale

Alcohol use disorder is a contraindication due to the potential for poor adherence to post-transplant care and medication, as well as the increased risk of liver damage.

 

Choice D rationale

Having a pacemaker is not an absolute contraindication for a kidney transplant; individuals with pacemakers can still be eligible for transplantation if otherwise healthy.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Respiratory alkalosis involves low carbon dioxide levels, which is not typical in COPD exacerbations.

Choice B rationale

Respiratory acidosis occurs due to impaired gas exchange and carbon dioxide retention in COPD.

Choice C rationale

Metabolic acidosis results from renal or metabolic issues, not primarily respiratory issues like in COPD.

Choice D rationale

Metabolic alkalosis involves high bicarbonate levels and is not typically associated with COPD exacerbations. .

Correct Answer is D

Explanation

Choice A rationale

Obtaining a peak flow reading provides information about the severity of asthma, but it is not the immediate priority during an acute exacerbation.

Choice B rationale

Administering an inhaled glucocorticoid can help in managing inflammation, but it takes time to work and is not the immediate priority.

Choice C rationale

Determining the cause of the acute exacerbation is important for long-term management but is not the immediate priority.

Choice D rationale

Administering a short-acting B2-agonist (SABA) is the priority because it provides rapid bronchodilation, helping to alleviate the airway obstruction quickly

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