A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Weight loss
Insomnia
Temperature 36.1°C (97.0° F)
Oliguria
The Correct Answer is D
A. Weight loss is not typically a manifestation of organ rejection post kidney transplant.
B. Insomnia is not typically associated with organ rejection post kidney transplant.
C. Normal body temperature does not indicate organ rejection post kidney transplant.
D. Oliguria or decreased urine output can be a sign of organ rejection post kidney transplant due to decreased renal perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While electrolyte imbalances can occur in nephrotic syndrome, hypomagnesemia is not typically associated with corticosteroid therapy.
B. Corticosteroid therapy can lead to increased urinary potassium loss and subsequent hypokalemia.
C. Corticosteroid therapy is not typically associated with hyperkalemia.
D. Hypermagnesemia is not typically associated with nephrotic syndrome or corticosteroid therapy.
Correct Answer is B
Explanation
A. Dextran 40 is a plasma volume expander and not used for correcting hypernatremia.
B. Hypernatremia indicates a deficit of water relative to sodium. Providing hypotonic solutions like Dextrose 5 in water helps to dilute the sodium concentration in the body fluids, effectively treating hypernatremia.
C. Dextrose 10% in water is a hypertonic solution and would exacerbate hypernatremia by increasing the concentration of sodium in the body fluids.
D. 25% albumin is a hypertonic solution and would exacerbate hypernatremia by increasing the concentration of sodium in the body fluids.
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