A nurse is providing teaching to a client who is scheduled for a kidney transplantation. Which of the following statements by the client indicates an understanding of the teaching?
"I don't have to worry about a rejection for at least 6 months after the transplant.
"My weight should be monitored daily 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 B
A. Rejection can occur at any time. Hyperacute rejection happens within minutes to hours, and acute rejection typically occurs within days to months. Life-long vigilance is required.
B. Daily weight monitoring is a critical component of post-transplant care. Rapid weight gain is one of the earliest and most objective indicators of fluid retention, which can signal that the new kidney is not filtering effectively or that the body is beginning to reject the organ.
C. In a successful living-donor transplant, urine production usually begins immediately. A lack of urine (oliguria or anuria) in the first 12 hours is a medical emergency that may indicate a blood clot or technical failure.
D. A fever is never expected after a transplant. Because the patient is on immunosuppressants, even a low-grade fever can be the only sign of a serious infection or an early sign of organ rejection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Raise the drainage bag above the level of the client's abdomen: This would decrease the flow rate of the dialysate. To facilitate proper drainage, the drainage bag should be kept lower than the level of the client's abdomen to allow gravity to assist in the outflow of dialysate.
B. Elevate the client to the high-Fowler's position: Elevating the client to a high-Fowler's position (sitting up at a 90-degree angle) can help improve the flow of dialysate by using gravity to promote better drainage, especially if there is fluid retention in the abdomen.
C. Measure the amount of the dialysate outflow: It's important to measure the dialysate outflow to assess the effectiveness of the dialysis and ensure that the prescribed amount of fluid is being drained. A decrease in outflow could indicate a blockage, kinked catheter, or other complications.
D. Monitor the access site for drainage: While monitoring the access site is important for assessing infection or leakage, a decrease in the dialysate flow rate is not related to drainage from the access site. Therefore, this is not a priority for addressing the decrease in flow rate.
E. Reposition the client onto the other side: Repositioning the client can help resolve any issues with the catheter position, which may be causing the decrease in flow. Moving the client can help improve drainage if the catheter is obstructed or kinked.
Correct Answer is C
Explanation
A. Nosebleed: A nosebleed is not typically associated with dialysis disequilibrium. It may be related to other factors like dry air or blood pressure changes, but it is not a classic symptom of dialysis disequilibrium.
B. Malaise: Malaise can occur after hemodialysis due to various reasons, such as fluid shifts, but it is not a specific indicator of dialysis disequilibrium.
C. Headache: Headache is a common symptom of dialysis disequilibrium, which occurs due to rapid changes in fluid and electrolyte balance during hemodialysis. This can lead to cerebral edema, which manifests as a headache.
D. Elevated temperature: An elevated temperature is not a typical sign of dialysis disequilibrium. It could indicate an infection or other issues related to dialysis, but it is not directly related to disequilibrium.
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