Medical Surgical Kidney transplant vs Biopsy #2

Question

A client calls the renal transplant clinic with symptoms that may be interpreted as kidney transplant rejection. When the client is at the clinic, the nurse will assess for which signs and symptoms of rejection?

Answers

  1. Fever, weight gain, and diminished urine output.
    • Rationale:

      This answer is correct because fever, weight gain, and diminished urine output are all clinical manifestations of kidney transplant rejection; therefore, the nurse anticipates these signs and symptoms upon client assessment.

  2. Depression and pain and redness at the incision site.
    • Rationale:

      This answer is not correct because pain and redness at the injection site is more commonly associated with infection versus transplant rejection. Fever, weight gain, and diminished urine output are all clinical manifestations of kidney transplant rejection.

  3. Hypotension, pain at the incision site, and fatigue.
    • Rationale:

      This answer is not correct because hypertension, not hypotension is more likely to occur with kidney transplant rejection. Pain and redness at the incision site, in addition to fatigue, could indicate infection.

  4. Polyuria with odor.
    • Rationale:

      This answer is not correct because diminished urine output, not polyuria, is a clinical manifestation of kidney transplant rejection. Malodorous urine could be indicative of infection.

Overview

Transplant rejection is defined as the process in which a transplant recipient’s immune system attacks the newly transplanted organ or tissue. Clients who receive organ transplantation are often required to take anti-rejection drugs to decrease the risk for rejection.

Explanation

Learning Outcomes

Clients who receive organ transplantation are often required to take anti-rejection drugs to decrease the risk for rejection. Even with this medication therapy, however, there is still a risk for transplant rejection to occur. The client who has a history of kidney transplantation who experiences a transplant rejection may experience clinical manifestations of fever, increased weight, diminished urine output, ankle swelling, pain or swelling of the new kidney, increase in blood pressure, and elevated creatinine.

Test Taking Tip

Consider the clinical manifestations associated with both infection and transplant rejection to answer this question correctly.

Video Rationale