A 71-year-old patient with ESKD has been told by the physician that it is time to consider hemodialysis until a transplant can be found
The patient tells the nurse she is not sure she wants to undergo a kidney transplant. What would be an appropriate response for the nurse to make?
A) "The decision is certainly yours to make, but be sure not to make a mistake."
B) "Kidney transplants in patients your age are as successful as they are in younger patients."
C) "I understand your hesitancy to commit to a transplant surgery. Success is comparatively rare."
D) "Have you talked this over with your family?"
Ans: B
Feedback:
Although there is no specific age limitation for renal transplantation, concomitant disorders (e.g., coronary artery disease, peripheral vascular disease) have made it a less common treatment for the elderly. However, the outcome is comparable to that of younger patients. The other listed options either belittle the patient or give the patient misinformation.
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