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Correct Answer: the nurse should check on the patient at least every 12 to 24 hours.
the question asks for an incorrect nursing intervention for a post-operative kidney transplant patient in the hospital setting. to correctly address this question, it is crucial to understand the typical care and monitoring required for such patients immediately following surgery.
firstly, consider the typical post-operative setting for a kidney transplant patient. patients who have undergone kidney transplantation are usually placed in an intensive care unit (icu) or a specialized post-operative unit where they can receive continuous monitoring and immediate medical attention. this is due to the critical nature of the surgery and the high risk of complications such as infection, bleeding, and rejection of the transplanted kidney.
the provided options include several nursing interventions:
1. **coughing and deep breathing exercises**: these are essential to help prevent respiratory complications, such as pneumonia, which is a concern post-surgery due to limited mobility and the effects of anesthesia.
2. **frequent monitoring by the nurse**: given that the patient is in a critical recovery phase, the nursing staff would typically check on the patient much more frequently than every 12 to 24 hours. immediate post-operative care for kidney transplant patients often involves continuous monitoring to quickly identify any signs of complications, such as changes in vital signs, pain levels, and signs of infection or rejection.
3. **stressing importance of strict compliance with all the patient's regimens**: this includes medications (especially immunosuppressants), dietary restrictions, and follow-up appointments, which are crucial to the success of the transplant and the overall recovery.
4. **encouraging the patient to express their feelings**: emotional support is vital as patients may feel anxious or stressed about the success of the transplant and their future health.
5. **closely monitoring the urine output**: this is critical as the newly transplanted kidney's function must be assessed continually. any deviations in expected urine output can be early indicators of transplant complications such as rejection or issues with the urinary tract.
6. **assessing the patient's pain level and administering medications if needed**: effective pain management is crucial in post-operative care to ensure patient comfort, encourage mobility, and prevent complications.
7. **assessing for any signs or symptoms of tissue rejection**: early detection and treatment of rejection are vital for the survival of the transplant.
among these interventions, the option stating that the nurse should check on the patient at least every 12 to 24 hours is not correct. this frequency is too infrequent for a post-operative kidney transplant patient in an intensive care setting, where conditions can change rapidly and require immediate intervention. in contrast, the other interventions listed are appropriate and necessary for the care of a post-operative kidney transplant patient.
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