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    Ati Nurs 223 W26 Med Surg Proctored Exam 2

    A nurse working on the transplant floor is discharging a kidney transplant recipient. Which statement demonstrates an understanding of the discharge teaching?

    Explanation & Rationale

    Rationale: A. Ibuprofen and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) that can be nephrotoxic and harmful to a transplanted kidney. Additionally, fever in a transplant patient may indicate infection or rejection and should not be self-treated without medical evaluation. This statement reflects incorrect understanding. B. Immunosuppressant medications must be taken lifelong to prevent organ rejection. Stopping them, even if the client feels well, can lead to acute rejection and loss of the transplanted kidney. This statement is incorrect and unsafe. C. Persistent flank pain for 8 weeks is not expected and may indicate complications such as rejection, infection, or other issues. This statement shows misunderstanding of normal recovery expectations. D. Symptoms such as lower abdominal pain, fever, and weakness may indicate infection or organ rejection, both of which are medical emergencies in transplant recipients. Prompt reporting of these symptoms demonstrates correct understanding of discharge instructions and the need for early intervention.

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