Question

The registered nurse is teaching a student nurse about physiologic changes in a kidney transplant recipient. Which statement made by the student nurse indicates the need for further teaching?

A. "The urinary output of the patient can be 1 L/hour."
B. "There may be an imbalance in the electrolyte levels."
C. "Decrease in the urine output after surgery can be neglected."
D. "Normal saline solution is infused to treat metabolic acidosis."

Answer 1

The statement indicating the need for further teaching is that a decrease in urine output after kidney transplant surgery can be neglected, which is incorrect as it is an important indicator of kidney function.

Step-by-step explanation:

The statement by the student nurse that requires further teaching is: C. "Decrease in the urine output after surgery can be neglected." After a kidney transplant, monitoring urine output is crucial because it indicates the new kidney's function. A decrease in urine output is a sign of potential complications, such as rejection of the transplant or issues with kidney function, and should not be neglected. In contrast, high urinary output of up to 1 L/hour and an imbalance in electrolyte levels are expected physiologic changes post-transplant. Treating metabolic acidosis with normal saline solution is another treatment intervention to manage imbalance caused by compromised kidney function. Therefore, all other statements except for option C are appropriate understandings of the physiologic alterations that may occur in a kidney transplant recipient.