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 A

Explanation

A. Lightheadedness is a common side effect of Flomax (tamsulosin) due to its alpha-blocking effect, which can cause vasodilation and a drop in blood pressure.

B. Bradycardia is not a typical side effect of Flomax. It mainly affects alpha receptors in the prostate and bladder, not the heart rate.

C. Burning with urination is more likely to be related to a urinary tract infection (UTI) rather than Flomax.

D. Temporary loss of libido is not a common side effect of Flomax, though it may be associated with other medications like finasteride used in BPH treatment.

A. Weight loss B. Swelling in the legs C. Itching in the upper chest D. Abdominal tenderness

Correct Answer is D

Explanation

A. Weight loss is a common concern in clients with chronic kidney disease, but it is not the primary concern in this scenario.

B. Swelling in the legs may occur with renal dysfunction but is less concerning than abdominal tenderness, which is indicative of a possible peritoneal infection.

C. Itching in the upper chest may be a symptom of uremia, but abdominal tenderness is more urgent when ruling out a peritoneal infection.

D. Abdominal tenderness is a key sign of peritoneal infection, which requires immediate attention as it can lead to peritonitis.

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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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