A patient who had a kidney transplant 5 days ago says, "I am glad I did not reject my kidney." What should the nurse consider when formulating a response to this statement?
1. Cell-mediated rejection takes place about 2 weeks after transplant.
2. Chronic rejection may occur months after transplant.
3. Chronic rejection may occur years after transplant.
4. Transplant does not occur until several days after transplant.
5. Transplant rejection is rare in kidney transplants.
1,2,3
Rationale 1: Cell-mediated rejection takes time and occurs about 2 weeks after transplant.
Rationale 2: Chronic rejection may occur months after surgery.
Rationale 3: Chronic rejection may occur years after surgery.
Rationale 4: Acute transplant rejection occurs almost immediately.
Rationale 5: Rejection is an issue in all organ transplants.
Global Rationale: Cell-mediated rejection takes time and occurs about 2 weeks after transplant. Chronic rejection may occur months or years after surgery. Acute transplant rejection occurs almost immediately.
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