A nurse is assessing a client for acute rejection of a kidney ...

[jenna1]

A nurse is assessing a client for acute rejection of a kidney transplant. What assessment finding requires the most rapid communication with the provider?
 
  a. Blood urea nitrogen (BUN) of 18 mg/dL
  b. Cloudy, foul-smelling urine
  c. Creatinine of 3.9 mg/dL
  d. Urine output of 340 mL/8 hr

Question 2

A client has been on dialysis for many years and now is receiving a kidney transplant. The client experiences hyperacute rejection. What treatment does the nurse prepare to facilitate?
 
  a. Dialysis
  b. High-dose steroid administration
  c. Monoclonal antibody therapy
  d. Plasmapheresis

[ebe]

Answer to Question 1

ANS: C
A creatinine of 3.9 mg/dL is high, indicating possible dysfunction of the kidney. This is a possible sign of rejection. The BUN is normal, as is the urine output. Cloudy, foul-smelling urine would probably indicate a urinary tract infection.

Answer to Question 2

ANS: A
Hyperacute rejection starts within minutes of transplantation and nothing will stop the process. The organ is removed. If the client survives, he or she will have to return to dialysis treatment. Steroids, monoclonal antibodies, and plasmapheresis are ineffective against this type of rejection.

[jenna1]

Wow, this really help

[ghepp]

Thanks for the timely response, appreciate it