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학습 자료 둘러보기 →In a kidney transplant recipient 3 months post-op, a fever of 101.2°F (38.4°C) with a productive cough and shortness of breath is a life-threatening emergency. This presentation strongly suggests a severe opportunistic pulmonary infection.
Immediate nursing actions include isolating the patient, administering oxygen to maintain SpO2 above 92%, obtaining blood and sputum cultures, and notifying the transplant team and rapid response team. A chest X-ray and initiation of broad-spectrum antibiotics are urgent priorities.
Do not delay intervention for a full workup. In immunosuppressed patients, clinical deterioration from respiratory infection can be rapid and fatal. A low white blood cell count is an expected drug effect and does not rule out severe infection.
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