Medical Surgical Kidney transplant vs Biopsy #5

Question

The nurse is performing discharge planning with a client post-kidney transplantation. Which statement by the client indicates to the nurse that additional teaching is required?

Answers

  1. “I am to avoid prolonged periods of sitting.”
    • Rationale:

      This answer is not correct because the renal transplant client will need to avoid prolonged periods of sitting. Studies indicate that sitting for long periods is linked to kidney disease.

  2. “I need to monitor my input and output.”
    • Rationale:

      This answer is not correct because by monitoring fluid intake and output, this will provide the client with evidence that the kidney is performing as it should. The client will receive logging paperwork to help keep track.

  3. “I should limit my soccer practices.”
    • Rationale:

      This answer is correct because this statement indicates the client needs more education since avoiding contact sports, not limiting contact sports, is required post-kidney transplantation. Contact sports can result in damage to the area of the body where the kidney graft was placed. High risk contact sports include football, soccer, boxing, and wrestling.

  4. “I should stay away from people who appear sick.”
    • Rationale:

      This answer is not correct because the kidney transplant client will be immunocompromised due to the immunosuppressant medications required. This will cause the client to be at higher risk for infection and therefore should stay away from anyone that appears ill.

Overview

Following kidney transplant, there are instructions the client must follow. These include avoiding sitting too long, monitoring input and output, avoiding contact sports, avoiding people with infections, medication compliance, and routine follow-up examinations.

Explanation

Learning Outcomes

Following kidney transplant, there are instructions the client must follow. These include avoiding sitting too long, monitoring input and output, avoiding contact sports, avoiding people with infections, medication compliance, and routine follow-up examinations. Studies indicate that sitting for long periods increases the risk of kidney disease. Monitoring input and output is evidence that the kidney is functioning properly. It is important to avoid contact sports to prevent possible bodily damage to the kidney. The client will be taking immunosuppressant drugs and will be at higher risk for infection and should avoid people who appear ill with an infection. Medication compliance and routine follow-up examinations is essential to prevent any complications or notice any signs of graft rejection.

Test Taking Tip

Have knowledge of post-kidney transplantation instructions.

Video Rationale