Exam 11: Organ Donation

A nurse is caring for a patient declared brain dead following a car crash in preparation for the harvesting of organs.The patient's urine output was 1050 mL in the last hour.What medication does the nurse prepare to administer?

While following up on a postoperative renal transplant recipient,the nurse discovers that the patient tested positive for cytomegalovirus (CMV).What is the priority action by the nurse?

The nurse is caring for a renal transplant recipient in the postanesthesia care unit.Blood pressure is 125/70 mm Hg; heart rate is 115 beats/min; respiratory rate is 24 breaths/min; oxygen saturation (SpO₂)is 95% on 3 L/min of oxygen via nasal cannula; temperature is 97.8° F; and the central venous pressure (CVP/RAP)is 2 mm Hg.What is the best action by the nurse?

A renal transplant recipient presents to the outpatient transplant clinic with blood glucose values for the past 3 days exceeding 250 mg/dL.The patient takes prednisone 5 mg daily and tacrolimus (Prograf)2 mg twice daily.Hemoglobin A1C level drawn the day of the clinic appointment was 8.5%.What is the best interpretation of this finding by the nurse?

The nurse is educating a renal transplant patient about his immunosuppressant medication therapy.Which statement by the patient best indicates an appropriate understanding?

The nurse often assists with brain-death testing.Which patient might have confounding factors for this testing?

The nurse is preparing to administer a renal transplant recipient's first dose of mycophenolate mofetil (CellCept).What is the best understanding of this medication by the nurse?

The nurse is caring for a patient following a bilateral lung transplant.When planning postoperative care of the patient,priority is placed on pulmonary hygiene.Which statement provides the best explanation for this priority?

The nurse obtains initial vital signs on a patient 2 weeks post-liver transplant who presents for follow-up monitoring to the outpatient transplant clinic.Which assessment finding by the nurse requires immediate action?

Which statement best describes the lung allocation score (LAS)used to prioritize lung transplant recipients?

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?

The nurse is caring for a patient who is being evaluated clinically for brain death.Which assessment finding supports brain death?

A patient being cared for in the ICU before organ donation shows increased PVCs on the cardiac monitor What medication does the nurse prepare to administer first?

The nurse assesses morning lab results for a postoperative day 1 liver transplant recipient.Lab results noted by the nurse include aspartate transaminase (AST)365 U/L; alanine aminotransferase (ALT)400 U/L; and serum glucose of 85 mg/dL.What is the best action by the nurse?

The postanesthesia care unit receives handoff communication from the CRNA indicating that the renal transplant recipient received induction therapy in the operating room with antithymocyte globulin (ATG).What is the best understanding of the administration of this drug by the nurse?