Page 1878 - Saunders Comprehensive Review For NCLEX-RN

FIG. 54-4 A, Surgical incision for renal transplantation. B, Surgical placement of
transplanted kidney.

Box 54-9

Client Instructions Following Kidney
Transplantation

▪ Avoid prolonged periods of sitting.

▪ Monitor intake and output.
▪ Recognize the signs and symptoms of infection and rejection.
▪ Use medications as prescribed, and maintain immunosuppressive therapy for
life.
▪ Avoid contact sports.
▪ Avoid exposure to persons with infections.
▪ Know the signs and symptoms that require the need to contact the primary
health care provider or nephrologist.
▪ Ensure follow-up care.

Box 54-10

Clinical Signs of Renal Transplant (Graft)
Rejection

▪ Temperature higher than 100° F (37.8° C)
▪ Pain or tenderness over the grafted kidney
▪ 2- to 3-lb (0.9 to 1.4 kg) weight gain in 24 hours

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