The nurse is providing discharge teaching for a client who had a kidney transplant. Which of the following accurately describes a teaching point appropriate for this patient?
A) "You will probably be on immunosuppressive drugs for the rest of your life."
B) "Because tissue typing was successful, there is no need to worry about organ rejection."
C) "Signs of rejection of the organ are different from other antigen–antibody responses."
D) "If you take immunosuppressive drugs, the organ will not be rejected."
A
Feedback:
A transplanted organ is a foreign substance, and the recipient's immune system will reject this foreign substance unless specific measures are taken to prevent it. Before the transplant, tissue typing is done to obtain the most genetically compatible match between donor and recipient; however, this is not always successful. Another measure taken to suppress the rejection is the use of immunosuppressive drugs for life. Signs of rejection can be similar to other antigen–antibody responses; they include fever, chills, diaphoresis, hypertension, hypotension, edema, and signs of organ involvement. If the immunosuppressive drugs are not effective, the organ will be rejected.
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