A nurse is monitoring a client post-kidney transplant for signs of infection. Which finding should the nurse report immediately to the healthcare provider?

Choice A reason: A temperature of 100.4°F indicates a potential infection in a post-transplant client, who is immunocompromised due to immunosuppressive therapy. Fever suggests systemic infection or rejection, requiring immediate reporting to prevent sepsis or graft loss, as the immune response is blunted, increasing infection severity. Choice B reason: Mild pain at the incision site is expected post-transplant due to surgical trauma and tissue healing. It is less urgent than fever, which signals infection. The nurse should monitor pain but prioritize reporting systemic signs like fever that indicate more serious complications in immunocompromised patients. Choice C reason: Clear urine output is a positive sign post-transplant, indicating good graft function and adequate hydration. It does not suggest infection or complications, so it does not require immediate reporting. The nurse should continue monitoring but prioritize systemic symptoms like fever for urgent action. Choice D reason: A blood pressure of 130/80 mmHg is within normal limits and not indicative of infection. Post-transplant hypertension is common due to medications, but this reading is not alarming. Fever is a more urgent sign of infection, requiring immediate reporting to protect the immunocompromised client.