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학습 자료 둘러보기 →For a stable outpatient 6 months post-kidney transplant on a triple immunosuppression regimen, the highest immediate priority is infection prevention. The combined effect of tacrolimus, mycophenolate, and prednisone creates profound T-cell and B-cell impairment, making infection the most common and dangerous threat.
Nursing interventions must first focus on active surveillance for subtle signs of infection and patient education on hand hygiene. While medication adherence is critical for long-term graft survival, a single missed dose is less acutely life-threatening than a rapidly progressing infection in an immunosuppressed host.
Do not assume rejection assessment is always the top priority. In a stable, afebrile outpatient, the risk of overwhelming sepsis from opportunistic pathogens due to immunosuppression takes precedence. Always prioritize airway, breathing, and circulation (ABCs) and immediate life threats like sepsis over chronic disease management.
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