The nurse is conducting patient teaching for the client post kidney transplant. Which statement made by the client indicates the need for further teaching?

“I will need to take cyclosporine for the rest of my life."

"My workouts will consist of playing football with my friends."

"I will need to monitor my labs frequently,"

“I will weigh myself daily to monitor my fluid status."

Answer and Explanation

The Correct Answer is B

A. Taking cyclosporine long-term is standard for preventing organ rejection in kidney transplant recipients.

B. Engaging in high-contact sports like football is not advisable immediately post-transplant due to the risk of injury and compromised immunity.

C. Frequent lab monitoring is necessary to assess for complications such as infection, organ rejection, and medication side effects.

D. Monitoring fluid status through daily weights is essential to detect fluid retention or dehydration.

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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.

A. Hematuria B. Weight loss C. Hypertension D. Increased urine output

Correct Answer is C

Explanation

A. Hematuria is not a typical finding after peritoneal dialysis, although it can occur in some clients with kidney disease.

B. Weight loss is not expected after dialysis; it is more likely to stabilize fluid balance and remove excess fluid.

C. Hypertension can be expected in clients with chronic kidney disease, as the kidneys play a key role in regulating blood pressure.

D. Increased urine output is not typically seen in clients with chronic kidney disease, especially after dialysis.

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The nurse is conducting patient teaching for the client post kidney transplant. Which statement made by the client indicates the need for further teaching?

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Naxlex Comprehensive Predictor Exams

A client has been admitted into the Dialysis unit to rule out a peritoneal infection. Which of the following clinical findings should the nurse be MOST concerned with when caring for this client?

Correct Answer is D

Explanation

A client with a past medical history of chronic kidney disease has just completed their daily peritoneal dialysis. Which of the following clinical findings should the nurse expect to find when assessing the client?

Correct Answer is C

Explanation

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