The nurse suspects acute graft rejection after a client has undergone a kidney transplant. What assessment findings confirm this diagnosis? (Select all that apply.)
a. Temperature of 100.6° F
b. Blood urea nitrogen (BUN) 56 mg/dL
c. Creatinine 3.2 mg/dL
d. Urine output 20 mL/hr
e. Extreme pain in the lower back
f. Edematous ankles
A, B, C, D
Low-grade fever, elevated blood urea nitrogen (BUN), elevated creatinine, and decreased urine output could all signal acute graft rejection of a kidney. The other answers do not.
You might also like to view...
Which of the following would a community health nurse identify as important to sending skills involved with communication?
A) Active listening B) Paraphrasing C) Nonverbal messages D) Rapport
Your patient has a diagnosis of bladder cancer with metastasis. The patient asks you about hospice. Which principle underlies hospice care?
A) Death must be accepted. B) Symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary team develops an individual plan of care for the patient. D) Terminally ill patients should die in the hospital.
The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?
A) Palpate both testicles simultaneously for comparison. B) Palpate each testicle separately, following a warm shower. C) Palpate the front of the testicle first, where most tumors are found. D) Palpate for a soft, round shape with normal ridges on the testicles.
Several visitors are in the room of a terminally ill patient. The nurse enters the room to discuss the plan of care for the patient. Which actions should be taken?
1. Stand at the foot of the patient's bed and tell all present the best course of action. 2. Ask the patient which individuals he or she would like to have stay in the room. 3. Ask the other patient in the room to raise the volume of the television. 4. Sit down next to the patient and discuss the plan.