The Charge Nurse of a Transplant Unit Is Reviewing the Clinical

The charge nurse of a transplant unit is reviewing the clinical course of several transplant patients being cared for in the unit.Which patient assessed by the charge nurse requires immediate action?

A) Renal transplant recipient, 1 day post op with a 3/10 pain level
B) Lung transplant recipient, 1 day post op with a productive cough
C) Heart transplant recipient, 1 day post op with a cardiac output of 4 L/min
D) Liver transplant recipient, 12 hours post op with a serum glucose of 58 mg/dL