The nurse is caring for a patient recovering from a kidney transplant. Which of the following should be done if the patient is demonstrating an increase in blood pressure?
1. reduce intravenous fluids
2. administer fresh frozen plasma
3. suspect a graft site leak and keep NPO for surgery
4. provide antihypertensive medications as prescribed
4
Rationale: Hypertension is a common problem in the kidney transplant patient. This condition can be exacerbated during the postoperative recovery period because of fluid volume imbalances precipitated by the high volume of IV fluids used to maintain a high urine flow. Antihypertensive agents may be ordered preoperatively and postoperatively to maintain the blood pressure within an acceptable range for the patient. The care of a post-kidney transplant patient demonstrating an increased blood pressure does not include reducing intravenous fluids or administering fresh frozen plasma. There is not enough information to support a graft site leak.
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