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A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

Weight loss

Insomnia

Temperature 36.1°C (97.0° F)

Oliguria

Answer and Explanation

The Correct Answer is D

A. Weight loss is not typically a manifestation of organ rejection post kidney transplant.

B. Insomnia is not typically associated with organ rejection post kidney transplant.

C. Normal body temperature does not indicate organ rejection post kidney transplant.

D. Oliguria or decreased urine output can be a sign of organ rejection post kidney transplant due to decreased renal perfusion.

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Correct Answer is D

Explanation

A. Metabolic acidosis is characterized by a low pH and low bicarbonate levels (HCO3).
B. Metabolic alkalosis is characterized by a high pH and high bicarbonate levels (HCO3).
C. Respiratory alkalosis is characterized by a high pH and low PaCO2 levels.
D. The pH is below the normal range (7.35-7.45), indicating acidosis. The PaCO2 is elevated, indicating respiratory acidosis, as an increase in PaCO2 leads to an increase in carbonic acid and a decrease in pH.

A. A client who has a calcium of 9.8 mg/dL B. A client who has a phosphate of 5.7 mg/dL C. A client who has a magnesium of 1.8 mEq/L D. A client who has a vitamin D of 25 ng/ml

Correct Answer is B

Explanation

A. Normal calcium levels are not indicative of hypoparathyroidism.
B. A manifestation of hypoparathyroidism would be a high phosphate level due to the low production of parathyroid hormone, which is responsible for regulating calcium and phosphate levels. It leads to reduced phosphate excretion.
C. Low magnesium levels are not indicative of hypoparathyroidism.
D. Normal vitamin D levels are not indicative of hypoparathyroidism.

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A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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