A nurse is providing teaching to a client who is scheduled for a kidney transplantation. Which of the following statements by the client indicate an understanding of the teaching?
"My weight should be monitored daily after the transplant."
"I don't have to worry about a rejection for at least 6 months after the transplant."
"I shouldn't expect urine production for the first 12 hours."
I should expect a low-grade fever for the first few days after the transplant."
The Correct Answer is A
A. Monitoring weight daily after a kidney transplant is important to detect fluid retention or rejection early, indicating the client understands post-transplant care.
B. Rejection can occur at any time, even within the first few weeks, so the statement about not worrying for 6 months is incorrect.
C. Urine production typically begins soon after transplantation; absence of urine for 12 hours may indicate a problem.
D. A low-grade fever is not expected and may indicate infection or rejection, so this statement is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While sterile technique is important during IV care, flushing the IV is not primarily for maintaining sterility.
B. Flushing can help clear air, but its main purpose is not air removal.
C. Flushing the IV line before and after medication administration helps verify patency (that the line is working properly) and ensures that the entire medication dose is delivered.
D. Flushing can help reduce medication interactions, but it is not specifically a method to minimize medication errors.
Correct Answer is A
Explanation
A. Continuous bubbling in the water seal chamber typically indicates an air leak. Clamping the tubing briefly and sequentially along its length helps identify the location of the leak. This is an appropriate nursing action.
B. Raising the drainage system to chest level is incorrect and can cause backflow of fluid or air into the pleural space, increasing the risk of pneumothorax.
C. Squeezing the tubing is not a recommended practice and can cause increased intrathoracic pressure or damage the drainage system.
D. The collection chamber is not emptied; instead, the entire drainage system is replaced when full to maintain sterility and function.
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