A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient. What is the nurse's best explanation when explaining the reason for hematuria in this patient?
“It is a normal postoperative expectation.”
“It is related to the immunosuppressant drugs taken before transplantation.”
“It is caused by dye injected during surgery.”
“It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases.”
The Correct Answer is A
A. “It is a normal postoperative expectation.” Hematuria is common immediately after renal transplantation due to surgical trauma and typically resolves as healing occurs.
B. “It is related to the immunosuppressant drugs taken before transplantation.” Immunosuppressant drugs do not cause hematuria directly.
C. “It is caused by dye injected during surgery.” Dye is not routinely used in renal transplantation, and hematuria would not be related to this.
D. “It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases.” While small vessel bleeding can occur, it is better to explain the hematuria as a normal postoperative expectation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.
B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.
C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.
D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.
Correct Answer is D
Explanation
A. Increases the appetite: Aluminum hydroxide does not have an appetite-stimulating effect.
B. Corrects the pH of the bowel: Aluminum hydroxide does not directly alter bowel pH; it is used to bind phosphate.
C. Calms the frequent upset stomach experienced by patients on dialysis: Although aluminum hydroxide can reduce stomach acid, its primary use in this context is as a phosphate binder.
D. Binds with phosphorus to increase the serum calcium level: Aluminum hydroxide binds dietary phosphorus in the gastrointestinal tract, reducing serum phosphorus levels. This helps manage the calcium-phosphorus balance, preventing complications like bone demineralization.
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