Author Question: The nurse is providing discharge teaching for a client who had a kidney transplant. Which of the ... (Read 59 times)

c0205847 · **on:** Jul 17, 2018

The nurse is providing discharge teaching for a client who had a kidney transplant. Which of the following accurately describes a teaching point appropriate for this patient?

A) You will probably be on immunosuppressive drugs for the rest of your life.
B) Because tissue typing was successful, there is no need to worry about organ rejection.
C) Signs of rejection of the organ are different from other antigenantibody responses.
D) If you take immunosuppressive drugs, the organ will not be rejected.

Question 2

The nurse is preparing a client for testing to determine acidosis or alkalosis. Which of the following laboratory tests would be ordered?

A) CBC
B) Clotting factors
C) ABG
D) LFT

lauravaras · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Feedback:
A transplanted organ is a foreign substance, and the recipient's immune system will reject this foreign substance unless specific measures are taken to prevent it. Before the transplant, tissue typing is done to obtain the most genetically compatible match between donor and recipient; however, this is not always successful. Another measure taken to suppress the rejection is the use of immunosuppressive drugs for life. Signs of rejection can be similar to other antigenantibody responses; they include fever, chills, diaphoresis, hypertension, hypotension, edema, and signs of organ involvement. If the immunosuppressive drugs are not effective, the organ will be rejected.

Answer to Question 2

C
Feedback:
Arterial blood gas (ABG) evaluations may be performed to determine the pH (potential of hydrogen in concentration) of blood, a valuable indicator of acidosis or alkalosis. Other commonly ordered tests include hematologic tests of the complete blood count (CBC), clotting factors, and liver function tests (LFTs).