A patient with end-stage renal disease wants to be considered for a kidney transplant

Question

What would the nurse explain about the United Network for Organ Sharing waiting list process? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Waiting time begins when the patient begins chronic dialysis maintenance.
2. The patient's location in proximity to the available kidney is a consideration in determining who will receive the kidney.
3. The number of matches between the candidate's and donor's HLA antigens is a significant consideration in who will receive an organ.
4. Family members must be available to care for the patient after transplant or the patient will not be placed on the list.
5. Body size

Answer 1

1,2,3
Rationale 1: The "time of waiting" begins when the candidate either has a creatinine clearance less than or equal to 20 mL/min or begins chronic maintenance dialysis.
Rationale 2: Kidneys are allocated first locally, then regionally, and finally, nationally.
Rationale 3: Points are assigned to a candidate based on the number of mismatches between the candidate's antigens and the donor's antigens at the HLA-DR locus.
Rationale 4: This is not UNOS criteria to be placed on a waiting list for a kidney transplant.
Rationale 5: This is not UNOS criteria to be placed on a waiting list for a kidney transplant.