Kidney transplant Renal NCLEX Practice Questions 2024 Review Questions and Correct Answers

When providing teaching to a patient who is scheduled for a kidney transplant in 2 weeks, which statement by the patient indicates further investigation is required by the nurse? 1) "I have been taking my immunosuppresive pill, but I'm still just really nervous that my body won't like the new kidney." 2) "So after surgery I'll be on a steroid, but my physician will have me come off this pill gradually." 3) "I had a cavity when I was 12, but I had it filled immediately." 4) "I've struggled with bipolar depression my entire life, but I am currently coping well without medication." Ans--4) Psychiatric illnesses are often aggravated by corticosteroids, so the nurse needs to look into this statement further. Dental caries are a problem if untreated due to infection risk. The nurse knows that which of the following are side effects seen with immunosuppresive therapy? Select all that apply: 1) Nephrotoxicity 2) Hypertension 3) Cancer 4) Blurred vision 5) Hair loss Ans--1, 2, 3 Other side effects include: hyperlipidemia, hirsutism, and tremors A nurse is providing discharge instructions to the patient who just received a kidney transplant. The nurse instructs the patient to report which of the following? Select all that apply: 1) Large amounts of dilute urine 2) Fever of 101 or above 3) Weight gain 4) Swelling over the new kidney site 5) Chills Ans--3, 4, 5 Large amounts of dilute urine are expected after a kidney transplantation, especially when the kidney is from a live donor. ANY fever should be reported to the health care provider, because this could indicate both infection and rejection. The nurse instructs a patient who received a kidney from a cadaver donor that it may take 2 or 3 weeks for the kidney to begin functioning properly. What is the nurse's priority concern at this time? 1) Anxiety 2) Airway patency 3) Fluid and electrolyte status 4) Monitoring for oliguria Ans--3) Because acute tubular necrosis may occur after a patient receives a kidney from a cadaver donor, we may see some oliguria, anuria, or polyuria. Hemodialysis may be necessary. During this time, we see significant changes in fluid/electrolyte status, and this is what the nurse really needs to be focused on. What is the most reliable method of detecting renal transplant rejection? 1) Ultrasonography 2) KUB X-ray 3) BUN and creatinine evaluation 4) Renal biopsy Ans--4