A patient is admitted to receive a kidney transplant from a live ...

[jho37]

A patient is admitted to receive a kidney transplant from a live sibling. The nurse realizes that what must have occurred for this surgery to be planned?
 
  1. The human leukocyte antigens between the patient and sibling must be very similar.
  2. The human leukocyte antigens between the patient and sibling must be very different.
  3. The patient has an overactive immune system.
  4. The donor has an overactive immune system.

Question 2

A patient in isolation for an incompetent immune system asks the nurse what disease he has that requires placement in isolation. How should the nurse respond?
 
  1. Because your immune system is weak, you can develop a disease. The isolation is to protect you.
  2. I will have to find out from your doctor.
  3. It's not a bad disease. The isolation is just to make sure it doesn't spread.
  4. I am sure that once your medications start to work, you won't have to remain in isolation.

[mbcrismon]

Answer to Question 1

Correct Answer: 1

Each body cell displays specific cell surface characteristics, or markers, that are unique to each person. These are known as human leukocyte antigens. The possibility of two people having the same human leukocyte antigen type is extremely remote. Some siblings have very similar patterns. In organ transplants, matching the human leukocyte antigen type as closely as possible tends to reduce the risk of rejection. If the human leukocyte antigen type were different, the surgery would not be successful. There is not enough information to determine if either patient or donor has an overactive immune system.

Answer to Question 2

Correct Answer: 1

With an incompetent immune system, the body is unable to defend itself against invading microorganisms. The purpose of isolation is to protect the patient from developing or picking up a disease from someone else. The nurse does not need to ask the physician about the patient's isolation. The patient does not have a specific disease that might spread. The patient may be on medication; however, it is not to treat a specific disease.