Two months after a simultaneous pancreas-kidney transplant (SPK), the client returns and is diagnosed as being in an acute rejection episode
The client makes this statement to the nurse: "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." What is the nurse's best response? A. "You should have followed your drug regimen better."
B. "You should be glad that at least dialysis treatment is an option for you. Remem-ber that people whose liver transplants are rejected have no other options."
C. "You should keep in mind that one acute rejection episode does not mean that you will lose the new organs. Usually, these episodes can be reversed with the right treatment."
D. "You should remember that finding a donor for a new kidney or pancreas is the easiest transplant option. Our center is high on the list for obtaining organs for transplant 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.
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