The nurse should suspect that a patient recovering from a liver transplant is experiencing acute rejection if what is found during assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Malaise and fatigue
2. Swollen and tender graft site
3. Colorless bile
4. Tea-colored urine
5. Constipation
1,2,3,4
Rationale 1: Malaise and fatigue are manifestations of acute liver transplant rejection.
Rationale 2: A swollen and tender graft site is a manifestation of acute liver transplant rejection.
Rationale 3: A change in color of bile from golden to colorless is a manifestation of acute liver transplant rejection.
Rationale 4: Tea-colored urine is a manifestation of acute liver transplant rejection.
Rationale 5: Constipation is not a manifestation of acute liver transplant rejection.
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