Exam 11: Organ Donation

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

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

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 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?

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

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

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 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?

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?

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 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?

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 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 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 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?

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?

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

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?