Question

32 of 50
a week after kidney transplantation, a client develops a temperature of 101° f (38.3 °c), the blood pressure is elevated, and there is tenderness over the transplanted kidney. the serum creatinine is rising, and urine output is decreased. the x - ray indicates that the transplanted kidney is enlarged. based on these assessment findings, the nurse anticipates which treatment?
rationale, strategy, tip.
answer options
1 antibiotic therapy
2 peritoneal dialysis
3 removal of the transplanted kidney
4 increased immunosuppression therapy

Explanation:

After kidney transplantation, the client's symptoms (fever, elevated BP, tenderness over kidney, rising creatinine, decreased urine output, enlarged kidney on X - ray) suggest acute rejection. To manage rejection, increased immunosuppression therapy is used to suppress the immune system's attack on the transplanted kidney. Antibiotic therapy is for infection, peritoneal dialysis is for renal failure management (not for rejection), and removing the kidney is a last - resort or for severe unmanageable rejection, not the first - line response here.

Answer:

1. Increased immunosuppression therapy