Exam 21: Solid Organ Transplantation

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

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

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

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

Which clinical scenario best represents hyperacute rejection?

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

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?

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 patient who is being evaluated clinically for brain death by a physician.Which assessment findings by the nurse support brain death?

The transplant clinic nurse is conducting patient education on the importance of follow-up health screening activities important in detecting complications associated with long-term immunosuppressant therapy.Which statement is most important for the nurse to include in the discussion?

The nurse is preparing to administer a renal transplant recipient's first dose of mycophenolate mofetil (CellCept).Prior to administering the medication,the nurse appropriately reviews drug formulary information.What is the best understanding of this medication by the nurse?

The nurse is providing discharge instructions to a renal transplant recipient.The patient has a follow-up appointment the next day for routine post-transplant laboratory bloodwork,including trough levels of anti-rejection medications.Which instruction describes what the patient should do regarding the anti-rejection medications the next day?

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 renal transplant recipient in the postanesthesia care unit.Handoff communication from the OR included a reported output of 500 mL following anastomosis of the renal vessels and reperfusion.One hour after the transplant recipient was admitted to the PACU,the RN notes no urine output.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?

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 providing postoperative education to a transplant patient's family.When asked about detecting rejection,which answer 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 nurse obtains initial vital signs on a patient 2 weeks posttransplant who presents for follow-up monitoring to the outpatient transplant clinic.Which assessment finding by the nurse requires immediate action?