A nurse has obtained donor tissue typing information about a patient who is waiting for a kidney transplant. Which results should be reported to the transplant surgeon?
a. Patient is Rh positive and donor is Rh negative
b. Six antigen matches are present in HLA typing
c. Results of patient-donor cross matching are positive
d. Panel of reactive antibodies (PRA) percentage is low
ANS: C
Positive crossmatching is an absolute contraindication to kidney transplantation, since a hyperacute rejection will occur after the transplant. The other information indicates that the tissue match between the patient and potential donor is acceptable.
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