A patient waiting for a kidney transplant asks the nurse what signs and symptoms most likely indicate rejection. What would be the nurse's best response?

A) "Oliguria is a sign of rejection."
B) "Shortness of breath is a sign of rejection."
C) "Decreasing blood pressure is a sign of rejection"
D) "Weight loss is a sign of rejection."


Ans: A

Feedback: After kidney transplantation, the nurse assesses the patient for signs and symptoms of transplant rejection: oliguria, edema, fever, increasing blood pressure, weight gain, and swelling or tenderness over the transplanted kidney or graft. Patients receiving cyclosporine may not exhibit the usual signs and symptoms of acute rejection. In these patients, the only sign may be an asymptomatic rise in the serum creatinine level (more than a 20% rise is considered acute rejection). Therefore options B, C, and D are incorrect.

Nursing

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