A nurse is evaluating a client who underwent a kidney transplant 2 weeks ago. Which of the following clinical manifestations should the nurse recognize as potential indication of organ rejection?

Temperature 36.1° C (97.0°F)

Weight loss

Hypertension

Insomnia

Answer and Explanation

The Correct Answer is C

A. Temperature 36.1° C (97.0°F): A low or normal temperature is not indicative of organ rejection. Fever (≥ 38°C / 100.4°F) is a more concerning sign and may suggest rejection or infection.

B. Weight loss: Rejection often leads to fluid retention, not weight loss. Clients may actually experience weight gain due to fluid overload.

C. Hypertension: Hypertension is a key indicator of acute kidney rejection due to inflammation and impaired kidney function, leading to fluid retention and increased blood pressure. Rejection can cause renal vascular resistance and reduced urine output, leading to fluid overload and elevated blood pressure.

D. Insomnia: Insomnia is not a direct symptom of rejection. It may be due to medications like corticosteroids (e.g., prednisone), anxiety, or post-transplant stress.

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Correct Answer is D

Explanation

A. A bleeding ulcer is not typically associated with acute glomerulonephritis.

B. Hypertension can be a consequence of glomerulonephritis, but it is not the primary cause.

C. Fungal infections are not typically associated with glomerulonephritis.

D. A recent streptococcal infection, particularly throat or skin infections, is often linked to the development of acute glomerulonephritis.

A. Limit protein intake to 2 servings per day. B. Encourage intake of at least 3 litres of fluids per day C. Encourage bed rest D. Apply cold compress to the client's flank area.

Correct Answer is B

Explanation

A. Limiting protein intake may be beneficial for certain kidney conditions but is not the priority for nephrolithiasis.

B. Encouraging adequate fluid intake (at least 3 liters per day) is critical to help prevent the formation of kidney stones by promoting urine output and dilution of substances that form stones.

C. Bed rest is not necessary for nephrolithiasis unless the client is in severe pain or experiencing complications.

D. While applying cold compresses may help with pain, increasing fluid intake is the most important action for preventing further stone formation.

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A nurse is evaluating a client who underwent a kidney transplant 2 weeks ago. Which of the following clinical manifestations should the nurse recognize as potential indication of organ rejection?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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