What are signs and symptoms of a possible kidney transplant rejection in a child? (Select all that apply.)
a. Fever
b. Hypotension
c. Diminished urinary output
d. Decreased serum creatinine
e. Swelling and tenderness of graft area
ANS: A, C, E
The child with a kidney transplant who exhibits any of the following should be evaluated immediately for possible rejection: fever, diminished urinary output, and swelling and tenderness of graft area. Hypertension, not hypotension, and increased, not decreased, serum creatinine are signs of rejection.
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