A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient. What is the nurse's best explanation when explaining the reason for hematuria in this patient?
“It is a normal postoperative expectation.”
“It is related to the immunosuppressant drugs taken before transplantation.”
“It is caused by dye injected during surgery.”
“It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases.”
The Correct Answer is A
A. “It is a normal postoperative expectation.” Hematuria is common immediately after renal transplantation due to surgical trauma and typically resolves as healing occurs.
B. “It is related to the immunosuppressant drugs taken before transplantation.” Immunosuppressant drugs do not cause hematuria directly.
C. “It is caused by dye injected during surgery.” Dye is not routinely used in renal transplantation, and hematuria would not be related to this.
D. “It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases.” While small vessel bleeding can occur, it is better to explain the hematuria as a normal postoperative expectation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Facial twitching: Facial twitching is unrelated to fluid retention and may indicate neuromuscular or electrolyte imbalances.
B. Periorbital edema: Periorbital (around the eyes) edema is a common sign of fluid retention, particularly in renal impairment.
C. Rash on cheeks and neck: A rash is not associated with fluid retention and may indicate other conditions such as allergies or lupus.
D. Broken blood vessels around the nose: This is unrelated to fluid retention and may result from trauma or alcohol use.
Correct Answer is C
Explanation
A. Including ureteral output with the bladder output: Ureteral catheter output should be measured separately to ensure accurate monitoring of each source.
B. Early ambulation: While ambulation is beneficial for overall recovery, the priority is ensuring the catheter is patent and urine is draining freely.
C. Assessing for patency: Ensuring the ureteral catheter is patent and draining prevents complications such as obstruction, hydronephrosis, or infection.
D. Irrigating the catheter regularly: Ureteral catheters are not routinely irrigated, as improper irrigation can damage the ureters or kidneys.
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