A nurse is caring for a client who is admitted to the emergency department for fatigue.
Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).
Assessment of lower extremities
Sodium level
Lung sounds
Creatinine level
Assessment of Incision site
Bowel sounds
Blood pressure.
Correct Answer : D,E
A. Assessment of Lower Extremities
Edema is common in renal failure but not specific to transplant rejection.
B. Sodium Level
Sodium level changes can occur with various conditions but are not specific to transplant rejection.
C. Lung Sounds
Lung sounds are important for respiratory issues but not directly indicative of kidney transplant rejection.
D. Creatinine Level
Elevated creatinine indicates possible kidney dysfunction or rejection.
E. Assessment of Incision Site
Signs of infection or inflammation at the incision site could indicate transplant issues.
F. Bowel Sounds
Hypoactive bowel sounds are related to gastrointestinal issues, not directly to transplant rejection.
G. Blood Pressure
Elevated blood pressure can be a consequence of many conditions but is not specific for transplant rejection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Encephalopathy is correct.
Rational: The client is experiencing alterations in their level of consciousness and has an elevated ammonia level. Encephalopathy is indicative of liver failure due to cirrhosis.
Finding
Ammonia level is correct.
Rational: The client is experiencing encephalopathy which can be a result of an elevated ammonia level. An elevated ammonia level is indicative of liver failure due to cirrhosis.
Correct Answer is "{\"xRanges\":[91.72221374511719,121.72221374511719],\"yRanges\":[59.1666259765625,89.1666259765625]}"
Explanation
- This is the correct area of auscultating for carotid bruit.
- This is the area of auscultation for femoral artery bruit.
- This is the brachial artery region.
- This is the abdominal aorta
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