The nurse is caring for a renal transplant patient admitted with an acute rejection episode. The patient asks the nurse how the doctors will know if the kidney has been rejected. What is the best response by the nurse?
a. "Your admission lab results will determine if your kidney is being rejected."
b. "A procedure called a renal biopsy will be the best way to confirm rejection."
c. "Monitoring over the next few days will determine if your kidney is failing."
d. "An ultrasound of your kidney will determine if your kidney has failed."
B
Renal biopsy confirms the presence of rejection. Admission lab results will provide information related to the current functional level of the kidney but will not confirm rejection. Monitoring the patient will not confirm the presence of rejection. An ultrasound of the kidney will determine if there is blood flow to the kidney but will not provide information at the cellular level.
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