A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

A. Age alone, including being 65 years old, is not a contraindication to transplant if the client is otherwise healthy. B. Active alcohol use disorder is a contraindication because it increases the risk of noncompliance with immunosuppressive therapy and poor post-transplant outcomes. C. A history of breast cancer with 8 years of remission is generally not a contraindication; patients are typically considered after being cancer-free for 5 years or more. D. A pacemaker does not contraindicate kidney transplantation; many transplant recipients have cardiac devices.