Randy has undergone a kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection?
A. Sudden weight loss
B. Polyuria
C. Hypertension
D. Shock
Correct Answer: C. Hypertension
Hypertension, along with fever, and tenderness over the grafted kidney, reflects acute rejection.
Option A: A BMI greater than 30kg/m2 indicates obesity, which has been linked to an increased risk for infection, poor wound healing, and rejection of the donated organ.
Option B: Polyuria is defined as the frequent passage of large volumes of urine. Polyuria does not indicate organ rejection.
Option D: The underlying illnesses causing organ failure combined with the surgical procedures and complications in the postoperative period predispose the client to an increased incidence and spectrum of infections. In some patients, the infection can lead to a dysregulated systemic inflammatory response with acute organ dysfunction (severe sepsis) and hypotension that is refractory to fluid resuscitation or septic shock.