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 A
Explanation
A. Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to impaired renal function, leading to decreased potassium excretion.
B. Hypomagnesemia is not typically associated with the oliguric phase of acute kidney injury.
C. In the oliguric phase, the glomerular filtration rate is typically decreased, not increased.
D. In acute kidney injury, creatinine levels typically rise due to decreased renal function, rather than decrease.
Correct Answer is D
Explanation
A. This statement is unrelated to the client's kidney stones and does not require reporting to the provider.
B. This statement indicates good fluid intake, which is generally beneficial for preventing kidney stones. It does not require reporting.
C. This statement is unrelated to the client's kidney stones and does not require reporting.
D. This statement indicates possible hematuria (blood in the urine) and pain, which could be indicative of a urinary tract issue related to the kidney stones and requires reporting to the provider for further assessment and management.
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