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a week after kidney transplantation, a client develops a temperature of 101°f (38.3°c), the blood pressure is elevated, and there is tenderness over the transplanted kidney. the serum creatinine is rising, and urine output is decreased. the x - ray indicates that the transplanted kidney is enlarged. based on these assessment findings, the nurse anticipates which treatment?
rationale, strategy, reference, tip
answer options
1 antibiotic therapy
2 peritoneal dialysis
3 removal of the transplanted kidney
4 increased immunosuppression therapy
The client shows signs of kidney - transplant rejection such as fever, elevated blood pressure, tenderness, rising serum creatinine, decreased urine output, and enlarged kidney. Increasing immunosuppression therapy can help reduce the immune - system's attack on the transplanted organ. Antibiotic therapy is for infection, not rejection. Peritoneal dialysis is for kidney failure management, not specifically for rejection. Removal of the transplanted kidney is a last - resort option and not the first - line treatment for rejection.
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- Increased immunosuppression therapy