The nurse is caring for a patient postoperative day 4 following a kidney transplant. When assessing for potential signs and symptoms of rejection, what assessment should the nurse prioritize?

A) Assessment of the quantity of the patient's urine output
B) Assessment of the patient's incision
C) Assessment of the patient's abdominal girth
D) Assessment for flank or abdominal pain


Ans: A
Feedback:
After kidney transplantation, the nurse should perform all of the listed assessments. However, oliguria is considered to be more suggestive of rejection than changes to the patient's abdomen or incision.

Nursing

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