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 A
Explanation
A. At least 18 years old: Kidney donors must legally be adults (18 years or older) to provide informed consent for the procedure.
B. At least 16 years old: Minors cannot give legal consent for organ donation.
C. At least 14 years old: This is below the age of legal adulthood and eligibility for kidney donation.
D. At least 21 years old: The minimum age for kidney donation is 18, not 21.
Correct Answer is B
Explanation
A. Potassium sparing: Loop diuretics are not potassium-sparing; they increase potassium excretion.
B. Potassium depleting. Loop diuretics, such as furosemide, promote the excretion of sodium, potassium, and water.
C. Less potent as a diuretic: Loop diuretics are among the most potent diuretics available.
D. Increases the reabsorption of water: Loop diuretics inhibit water reabsorption by blocking sodium and chloride reabsorption in the loop of Henle.
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