Exam 11: Organ Donation

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

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

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?

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 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?

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?

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?

Which clinical scenario best represents hyperacute rejection?

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 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 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 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 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 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 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?