Exam 11: Organ Donation

The nurse is providing postoperative education to a heart transplant patient's family.When asked about detecting rejection,which solve by the nurse is most appropriate?

The transplant clinic nurse is conducting a pretransplant education session for patients being evaluated for liver transplantation.Which statement by the nurse provides the best explanation of the numeric system used to classify the severity of a patient's liver disease?

The charge nurse is reviewing the status of patients in the critical care unit.Regarding which patient should the nurse notify the organ procurement organization to evaluate for possible organ donation?

The nurse is caring for a patient in the critical care unit who,after being declared brain dead,is being managed by the OPO transplant coordinator.Thirty minutes into the shift,assessment by the nurse includes a blood pressure 75/50 mm Hg,heart rate 85 beats/min,and respiratory rate 12 breaths/min via assist/control ventilation.The oxygen saturation (SpO₂)is 99% and core temperature 93.8° F.Which provider prescription should the nurse implement first?

Which clinical scenario best represents hyperacute rejection?

The nurse is caring for a renal transplant recipient in the postanesthesia care unit (PACU).One hour after the transplant recipient was admitted to the PACU,the RN notes the patient's blood pressure has dropped to 82/60 mm Hg and the pulse is 138 beats/min.Which physician order should the nurse implement first?

Which statement best represents appropriate donor-to-recipient criteria for liver transplantation?

A family member of a gravely ill child approaches the child's nurse and states,"We want to donate our child's organs." What is the best action by the nurse?

A patient presents to the outpatient transplant clinic stating,"I would like to donate one of my kidneys." What is the best response by the nurse?

The transplant clinic nurse is educating a patient about the renal criteria that must be met in order to be placed on the transplant waiting list.Which statement by the patient best indicates an understanding of the criteria?

The transplant clinic coordinator is evaluating relatives of a patient with end-stage renal disease,whose blood type is A positive,for suitability as a living donor for kidney transplantation.Which family member best qualifies for evaluation?

The nurse is managing a donor patient six hours before the scheduled harvesting of the patient's organs.Which assessment finding requires immediate action by the nurse?

The transplant clinic nurse is educating a group of transplant recipients on health promotion and maintenance.What is the priority statement by the nurse?

The nurse is caring for a mechanically ventilated patient following bilateral lung transplantation.When planning the care of this patient,what is the priority nursing intervention?

The nurse is caring for a patient who has a Glasgow Coma Scale (GCS)score of 3.Discussions have been held with the family about withdrawing life support.Which statement by the nurse best describes requirements that must be met to sustain Centers for Medicare and Medicaid Services (CMS)Conditions of Participation?

The transplant clinic social worker is completing a social history on a patient with end-stage renal disease who is being evaluated for transplant.Which statement by the patient warrants further action?

A nurse is preparing to admit a post-heart transplant patient for a second myocardial biopsy in 3 weeks.What conclusion does the nurse draw from this admission information?

The nurse is caring for a postoperative renal transplant recipient from a cadaver donor in the critical care unit.After seeing minimal urine output in the catheter for most of the day,the patient expresses concern to the nurse.What is the best response by the nurse?

The family of a critically ill patient has asked to discuss organ donation with the patient's nurse.When preparing to solve the family's questions,the nurse understands which concern(s)most often influence a family's decision to donate? (Select all that apply.)

The nurse is caring for a renal transplant patient admitted with an acute rejection episode.The patient asks the nurse how the doctors will know if the kidney has been rejected.What is the best response by the nurse?