Medical Surgical Kidney transplant vs Biopsy #1

Question

A client received a kidney transplant two years ago, and returns to the clinic reporting frequent coughing for the past three months. Chest computed tomography (CT) reveals a tumor. Which does the nurse understand regarding recipients of kidney transplantation?

Answers

  1. Not any more at risk for cancer than the general population.
    • Rationale:

      This answer is not correct because the anti-rejection medications increase the client’s risk for developing cancer. The health risks associated with a kidney transplant include those associated directly with the surgery itself, rejection of the donor organ, and side effects of taking medications needed to prevent the body from rejecting the donated kidney.

  2. At risk for benign adenomas related to change in cells during transplant.
    • Rationale:

      This answer is not correct because this statement refers to only benign tumors. The health risks associated with a kidney transplant include those associated directly with the surgery itself, rejection of the donor organ, and side effects of taking medications needed to prevent the body from rejecting the donated kidney.

  3. At risk for cancer related to long-term use of anti-rejection therapy.
    • Rationale:

      This answer is correct because any client who receives an organ transplant is at an increased risk for developing cancer due to the lifelong anti-rejection therapy which not only decreases the client’s immune response but also increases the risk for tumor development.

  4. At risk for preoccupation with fear of dying of another terminal condition.
    • Rationale:

      This answer is not correct because this statement is an insensitive assumption about kidney transplant recipients. The health risks associated with a kidney transplant include those associated directly with the surgery itself, rejection of the donor organ, and side effects of taking medications needed to prevent the body from rejecting the donated kidney.

Overview

A kidney transplant is defined as a surgical procedure using a donor organ to treat renal failure. The health risks associated with a kidney transplant include those associated directly with the surgery itself, rejection of the donor organ, and side effects of taking medications needed to prevent the body from rejecting the donated kidney.

Explanation

Learning Outcomes

The health risks associated with a kidney transplant include those associated directly with the surgery itself, rejection of the donor organ, and side effects of taking medications needed to prevent the body from rejecting the donated kidney. Use of anti-rejection therapy such as cyclosporine is a life-long requirement. It is important to note, however, that the use of this therapy decreases the client’s immune responses and increases the risk for tumor development in other parts of the body; therefore, the client is at risk for cancer related to long-term use of anti-rejection therapy.

Test Taking Tip

Consider each statement as true or false regarding kidney transplantation and the risk for developing cancer.

Video Rationale