A client is scheduled for kidney transplantation using an allograft. Which instruction should the nurse provide?

Question

Standard Text: Select all that apply.
1. "You will be monitored for acute rejection for the first 48 hours."
2. "If your system has not rejected the kidney within 2 weeks of surgery, you will be out of danger."
3. "You will take antirejection medication for at least several months after surgery."
4. "You are in danger of developing chronic rejection for years after your surgery."
5. "Rejection usually occurs immediately after surgery, generally before the client gets out of the recovery room."

Answer 1

Correct Answer: 1,3,4
Rationale 1: Acute rejection occurs in the first 48 hours after transplant.
Rationale 2: Rejection of an allograft may occur months or years after transplant.
Rationale 3: Antirejection medications are given for at least several months and are sometimes continued at a lower dose indefinitely.
Rationale 4: Chronic rejection of the transplant may occur months or even years after surgery.
Rationale 5: Rejection can occur anytime, from the first few hours after surgery to years later.
Global Rationale: Transplant rejection, is often acute; antibodies sometimes destroy the transplanted tissue within 48 hours after a transplant. The cell-mediated branch of the immune system responds more slowly to the transplant, attacking it about 2 weeks following surgery. Chronic rejection of the transplant may occur months or even years after surgery.