Symptoms
A patient post-kidney transplant presents with fatigue and edema. These symptoms could indicate this symptom.
What is chronic rejection?
A creatinine level of 3.2 mg/dL in a kidney transplant patient can suggest this problem.
What is Declining graft function
A renal biopsy showing fibrosis indicates this in a transplant patient?
What is Chronic rejection
This can be the first nursing action for a transplant patient with fever and graft pain?
What is Notify provider and obtain cultures
Which NGN model domain applies when identifying infection signs in a transplant patient?
Recognizing cues
A liver transplant patient reports RUQ pain and dark urine 10 days post-op.
What is acute rejection
ALT of 320 U/L and AST of 290 U/L post-liver transplant can indicate this.
What is Hepatocellular injury, likely rejection
Liver biopsy showing lymphocyte infiltration suggests this.
What is Acute rejection
This intervention is essential for a patient with elevated tacrolimus levels and confusion?
What is Hold medication and notify transplant team
This critical judgment is needed when evaluating elevated liver enzymes post-transplant?
What is Analyzing cues and prioritizing hypotheses
A kidney transplant patient has fever, chills, and dysuria.
What is Infection (UTI or pyelonephritis)
WBC of 15,200/µL and positive nitrites in urinalysis indicates this.
What is Urinary tract infection?
Ultrasound showing hydronephrosis in a kidney transplant patient suggests this/these complication (s)?
What is Obstruction or infection?
This nursing priority applies to a patient with elevated liver enzymes and mild fever post-op
What is Monitor for early signs of rejection or infection
This NGN domain applies when deciding to hold tacrolimus due to neuro symptoms?
Taking action
A liver transplant patient presents with confusion and tremors. This a possible medication complication of this medication.
What is Tacrolimus neurotoxicity?
Tacrolimus level of 18 ng/mL is associated with this problem.
What is Neurotoxicity and immunosuppression complication?
EEG showing diffuse slowing in a liver transplant patient is a sign of this.
What is Encephalopathy or neurotoxicity
These are things the nurse should assess before transplant approval in a dialysis patient?
What is Blood pressure control and cardiac clearance
This judgment is required when assessing transplant candidacy in a patient with uncontrolled BP?
Prioritizing hypotheses and evaluating risks
A pre-transplant patient has poorly controlled hypertension. This poses this type of risk.
What is Increased cardiovascular risk and poor graft outcomes
INR of 2.1 post-liver transplant may indicate this.
What is Impaired liver synthetic function or rejection
Doppler ultrasound with normal flow in a liver transplant patient with elevated liver enzymes rules out what?
What is Vascular complications (e.g., hepatic artery thrombosis)
This nursing action supports transplant candidacy in a diabetic ESRD patient?
What is Optimize glycemic and cardiovascular management
This NGN model element guides nursing priorities in post-transplant care?
What is Generating solutions and evaluating outcomes