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Correct Answer: the nurse should monitor the patient every 12 hours for 2 days.
in the context of post-transplant kidney care, certain nursing interventions are critical to ensure the patient's health and recovery. these include frequent monitoring, encouragement of emotional expression, and emphasis on compliance with medical regimens. however, some specified interventions might not be considered appropriate or adequate, based on the patient's condition and the critical nature of the post-operative period.
one of the interventions mentioned, "the nurse should monitor the patient every 12 hours for 2 days," would not be considered correct or sufficient for a post-transplant kidney patient. this is because, in the immediate post-operative period, kidney transplant patients require much more intensive and frequent monitoring. the primary concerns include preventing, identifying, and treating complications such as rejection of the new kidney, infections, and ensuring the new kidney is functioning properly.
appropriate monitoring for a kidney transplant patient, particularly in the initial days following surgery, usually involves checking vital signs, fluid balance, electrolyte levels, and kidney function tests more frequently than every 12 hours. this could mean monitoring every few hours or continuously, depending on the patient’s specific condition and the standard protocols of the healthcare facility. such close monitoring is crucial to promptly address any signs of complications or deterioration in the patient’s condition.
furthermore, the nurse should encourage the patient to express their feelings. this intervention is indeed appropriate as it helps address the emotional and psychological needs of the patient, who may be experiencing stress, anxiety, or depression post-transplant. emotional support plays a vital role in the overall recovery and well-being of the patient.
other correct interventions include stressing the importance of strict compliance with all the patient’s regimens, such as medication schedules, diet, and follow-up appointments. noncompliance can lead to severe complications, including graft rejection or failure. additionally, the nurse should frequently check on the patient, not just for physical health but also to provide reassurance and support, which can significantly impact recovery and adherence to necessary post-transplant care protocols.
in summary, the intervention of monitoring the patient every 12 hours for 2 days post-transplant is not considered adequate due to the high level of care and vigilance required during this critical period. instead, more frequent and detailed monitoring is essential to ensure the safety and successful recovery of the kidney transplant patient.
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