EXAM3 MED SURG 4th,GURANTEED A PASS 2024 Med surg (Saint Paul's School of Nursing)

MED SURG EXAM3 MED SURG 4th,GURANTEED A PASS 2024 Med surg (Saint Paul's School of Nursing) The nurse cares for a client who had a liver transplant 48 hours ago. It would be a priority for the nurse to notify the healthcare provider (HCP) if the client has Explanation Choice B is correct. Acute graft rejection is a concern for a client who had a liver transplant. This complication commonly occurs from the 4th to the 10th postoperative day. While this client is only 48 hours postoperative, the rising AST/ALTs are concerning because this is a manifestation of acute graft rejection. Other manifestations of acute graft rejection include tachycardia, fever, right upper quadrant (RUQ) or 昀氀ank pain, diminished bile drainage or change in bile color, or increased jaundice. Choices A, C, and D are incorrect. An increase in temperature is not a concern because the increase is still within normal limits. If the client should have acute graft rejection or a surgical site infection, the client will have a fever. A moderate amount of serosanguinous is not concerning because the drainage is not purulent or foul-smelling, which would be a concern for infection. Nause following pain medication is a common 昀椀nding but would not prioritize over the client experiencing acute graft rejection, which requires aggressive dosing of prescribed antirejection medications. This client could bene昀椀t from an antiemetic. However, it is essential the nurse prioritize the rising liver enzymes, which is suggestive of a serious complication.