After teaching a client who is recovering from pancreas ...

[Mr.Thesaxman]

After teaching a client who is recovering from pancreas transplantation, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional education?
 
  a. If I develop an infection, I should stop taking my corticosteroid.
  b. If I have pain over the transplant site, I will call the surgeon immediately.
  c. I should avoid people who are ill or who have an infection.
  d. I should take my cyclosporine exactly the way I was taught.

Question 2

A nurse cares for a client who is diagnosed with acute rejection 2 months after receiving a simultaneous pancreas-kidney transplant. 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. How should the nurse respond?
  a.
  Following the drug regimen more closely would have prevented this.
  b.
  One acute rejection episode does not mean that you will lose the new organs.
  c.
  Dialysis is a viable treatment option for you and may save your life.
  d.
  Since you are on the national registry, you can receive a second transplantation.

[amy.lauersdorf90]

Answer to Question 1

ANS: A
Immunosuppressive agents should not be stopped without the consultation of the transplantation physician, even if an infection is present. Stopping immunosuppressive therapy endangers the transplanted organ. The other statements are correct. Pain over the graft site may indicate rejection. Anti-rejection drugs cause immunosuppression, and the client should avoid crowds and people who are ill. Changing the routine of anti-rejection medications may cause them to not work optimally.

Answer to Question 2

ANS: B
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. The client may not be a candidate for additional organ transplantation.