Two months after a simultaneous pancreas-kidney (SPK) transplantation, a client is diagnosed as being in acute rejection
The client states, "I was doing so well with my new organs, and the thought of having to go back to living on hemodialysis and taking insulin is so depressing." Which is the nurse's best response? a. "You should have followed your drug re-gimen better."
b. "You should be glad that at least dialysis treatment is an option for you."
c. "One acute rejection episode does not mean that you will lose the new organs."
d. "Our center is high on the list for obtain-ing organs from the national registry."
C
An episode of acute rejection does not automatically mean that the client will lose the transplant. Pharmacologic manipulation of host immune responses at this time can limit damage to the organ and allow the graft to be maintained. The other statements either belittle the client or downplay his or her concerns.
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