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WorksheetsKidney Transplant
Total questions: 10
Worksheet time: 8mins
A nurse is planning postoperative care for a client following a kidney transplant. Which of the following actions should the nurse include? SATA
Assess dressings for bloody drainage.
Obtain daily weights.
Replace hourly urine output with IV fluids
Monitor blood electrolytes
Expect oliguria in the first 4 hr.
A nurse is teaching a client who is scheduled for a kidney transplant about organ rejection. Which of the following statements should the nurse include? SATA
“Fluid retention is a manifestation of an acute rejection."
“A fever is a manifestation of an acute rejection.”
“You might need to begin dialysis to monitor your kidney function for a hyperacute rejection.”
“Your provider will increase your immunosuppressive medications for a chronic rejection.”
“Expect an immediate removal of the donor kidney for a hyperacute rejection.”
A patient who received a kidney transplant returns for a follow-up visit to the outpatient clinic and reports a lump in her breast. Transplant recipients are:
At increased risk for cancer due to immunosuppression caused by cyclosporine.
Consumed with fear after the life-threatening experience of having a transplant.
At increased risk for tumors because of the kidney transplant.
At decreased risk for cancer, so the lump is most likely benign.
Which of the following is true regarding immunosuppressant medications following kidney transplantation?
The are continued for the rest of the client's life
They are continued for a week following transplantation
They are continued for 24 hours following transplantation
They are continued for until the kidney is no longer rejected
The nurse is caring for a client that has returned to the hospital three months following a kidney transplant. The client is diagnosed with an acute rejection reaction. What treatment should the nurse expect?
Immediate removal of the kidney.
Initiation of renal replacement therapies
An increase in the immunosuppressant medication
There is nothing that can be done to treat this
A client has just received a renal transplant and has started cyclosporine therapy to prevent graft rejection. Which of the following conditions is a major complication of this drug therapy?
Depression
Hemorrhage
Infection
Peptic ulcer disease
Which of the following would disqualify someone from receiving a donor kidney? SATA
Well controlled DM
Advanced COPD
History of drug abuse, but four years sober
Unstable Angina
Hepatitis C infection
The client is to undergo kidney transplantation with a living donor. Which of the following preoperative assessments is important?
Urine output
Signs of graft rejection
Creatinine and BUN levels
Client’s support system and understanding of lifestyle changes
A nurse is caring for a client in the immediate post operative period following a kidney transplant. Which of the following signs and symptoms could indicate a hyperacute rejection reaction.
A decrease in urine output
Hematuria
Hypertension and pain at the transplant site
An elevated temperature
Which of the following in most important when matching a donated organ with the recipient?
The organ comes from a blood relative
The organ was taken from a living donor
The donor and the recipient have matching ABO and HLA
The donor is only willing to donate to that specific recipient
