A 71-year-old patient has ESRD and 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, just don't make the wrong one."
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. It is not as successful as it is in younger people."
D) "Have you talked this over with your family?"
Ans: B
Feedback: Although there is no specific age limitation for renal transplantation, concomitant disorders (eg, 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. Options A, C, and D are incorrect as they belittle the patient or give the patient misinformation.
You might also like to view...
Peripheral arterial disease is more likely to occur in the
A) upper arms. B) lower arms and hands. C) thighs. D) calves and feet.
A patient comes to the clinic and tells the nurse she might be pregnant. She has migraine headaches. The physician prescribes dihydroergotamine (DHE 45). The nurse explains to the patient that this drug is being used for which reason?
a. This agent dilates vessels. b. This agent does not have oxytocic effects. c. This agent has no toxic effects. d. This agent does not cause dependence.
A patient who had surgery 6 days earlier has developed a urinary tract infection, for which the prescriber has ordered nitrofurantoin (Macrodantin). The nurse is providing patient education about the medication
What should the nurse include in the teaching? (Select all that apply.) a. "We will need to monitor your creatinine clearance levels." b. "It would be best to take your meds on an empty stomach." c. "Your urine may have a brown tint." d. "You may experience constipation." e. "You may experience a headache."
The nurse is assessing a child with suspected thalassemia. What would the nurse expect to assess?
A) Dactylitis B) Frontal bossing C) Presence of clubbing D) Presence of spooning