A postoperative kidney transplant patient asks the nurse what signs and symptoms most likely indicate rejection. The nurse's best response is:
A) Oliguria
B) Shortness of breath
C) Decreasing blood pressure
D) Weight loss
Ans: A
Feedback: After kidney transplantation, the nurse assesses the patient for signs and symptoms of transplant rejection such as 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).
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