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A nurse is caring for a client who is admitted to the emergency department for fatigue.

Exhibits

Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

Assessment of lower extremities

Sodium level

Lung sounds

Creatinine level

Assessment of Incision site

Bowel sounds

Blood pressure.

Answer and Explanation

Correct Answer : D,E

A. Assessment of Lower Extremities
Edema is common in renal failure but not specific to transplant rejection.

B. Sodium Level
Sodium level changes can occur with various conditions but are not specific to transplant rejection.

C. Lung Sounds
Lung sounds are important for respiratory issues but not directly indicative of kidney transplant rejection.
D. Creatinine Level
Elevated creatinine indicates possible kidney dysfunction or rejection.

E. Assessment of Incision Site
Signs of infection or inflammation at the incision site could indicate transplant issues.

F. Bowel Sounds
Hypoactive bowel sounds are related to gastrointestinal issues, not directly to transplant rejection.

G. Blood Pressure
Elevated blood pressure can be a consequence of many conditions but is not specific for transplant rejection.

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Correct Answer is B

Explanation

A. Fluids should not be restricted; adequate hydration is necessary to help flush the contrast dye used during the procedure out of the client's system.
B. Performing neurovascular checks with vital signs is essential to monitor for complications such as bleeding, hematoma, or compromised circulation to the extremity.
C. The client should avoid range-of-motion exercises to the lower extremities immediately following the procedure to prevent disruption of the femoral artery site.
D. The client should remain on bed rest for several hours following the procedure to reduce the risk of bleeding at the catheter insertion site.

A. Hypotension B. Bone pain C. Bradypnea D. Slurred speech E. Pruritus

Correct Answer is ["B","D","E"]

Explanation

A. Hypotension is not typically associated with ESRD; hypertension is more common due to fluid retention and alterations in renin-angiotensin system.
B. Bone pain is common in ESRD due to disturbances in calcium and phosphate metabolism, leading to renal osteodystrophy.
C. Bradypnea is not an expected finding; however, patients may exhibit Kussmaul respirations if they have metabolic acidosis.
D. Slurred speech is a typical finding in ESRD.
E. Pruritus is a common symptom in ESRD due to the buildup of uremic toxins and alterations in calcium and phosphate metabolism.

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A nurse is caring for a client who is admitted to the emergency department for fatigue. Exhibits Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

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A nurse is caring for a client who is admitted to the emergency department for fatigue.

Exhibits

Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).