Question 1

Which statement made by a patient who has received an organ transplant indicates that the teaching was effective?

Accepted Answer

A)  "I will finally be able to eat a regular diet." 
B)  "I will establish a routine for checking any skin changes." 
C)  "I will check my blood pressure regularly to make sure it's not too high." 
D)  "After my drug regimen is established, I won't have to worry about rejection." 
A)  "I will finally be able to eat a regular diet." 
B)  "I will establish a routine for checking any skin changes." 
C)  "I will check my blood pressure regularly to make sure it's not too high." 
D)  "After my drug regimen is established, I won't have to worry about rejection."

Question 2

A patient is admitted with a massive head trauma.The patient is unresponsive and on mechanical ventilation.The electroencephalogram (EEG)is negative for brain waves.The family has agreed to organ donation.How would this organ donor be classified?

Accepted Answer

A)  Brain-dead donor 
B)  Donation after cardiac death 
C)  Living related donor 
D)  Living unrelated donor 
A)  Brain-dead donor 
B)  Donation after cardiac death 
C)  Living related donor 
D)  Living unrelated donor

Question 3

A patient with liver failure manifested by portal hypertension and ascites is hospitalized and waiting for a liver transplant.Which order should the nurse question?

Accepted Answer

A)  Low-sodium diet 
B)  Low-protein diet 
C)  ABO typing 
D)  Human leukocyte antigen tissue typing 
A)  Low-sodium diet 
B)  Low-protein diet 
C)  ABO typing 
D)  Human leukocyte antigen tissue typing

Question 4

A nurse is preparing a patient for a liver transplant.The patient asks which stage of the procedure is the longest and most difficult.What would the nurse tell the patient?

Accepted Answer

A)  Stage 1-recipient hepatectomy 
B)  Stage 2-vascular anastomoses 
C)  Stage 3-biliary anastomosis 
D)  Stage 4-induction therapy 
A)  Stage 1-recipient hepatectomy 
B)  Stage 2-vascular anastomoses 
C)  Stage 3-biliary anastomosis 
D)  Stage 4-induction therapy

Question 5

Potential recipients are matched with donors based on what factors?

Accepted Answer

A)  Blood type 
B)  Human leukocyte antigen 
C)  Race 
D)  Socioeconomic status 
E)  Severity of illness
F) Location of recipient
G) Waiting time on the list 
A)  Blood type 
B)  Human leukocyte antigen 
C)  Race 
D)  Socioeconomic status 
E)  Severity of illness
F) Location of recipient
G) Waiting time on the list

Question 6

The nurse is caring for a patient after a liver transplant.Which finding would be of most concern to the nurse?

Accepted Answer

A)  Increased serum glucose 
B)  Low aspartate aminotransferase (AST) and alanine aminotransferase (ALT) 
C)  Elevated prothrombin time 
D)  Decreased blood urea nitrogen and creatinine 
A)  Increased serum glucose 
B)  Low aspartate aminotransferase (AST) and alanine aminotransferase (ALT) 
C)  Elevated prothrombin time 
D)  Decreased blood urea nitrogen and creatinine

Question 7

The nurse is caring for a patient after a heart transplant.Which finding would the nurse anticipate after cardiac transplantation?

Accepted Answer

A)  Two P waves on the electrocardiogram (ECG) 
B)  High cardiac output 
C)  Anginal pain 
D)  Resting heart rate of 60 to 70 beats/min 
A)  Two P waves on the electrocardiogram (ECG) 
B)  High cardiac output 
C)  Anginal pain 
D)  Resting heart rate of 60 to 70 beats/min

Question 8

A patient is admitted with massive head trauma.The patient is unresponsive and on mechanical ventilation.The electroencephalogram (EEG)is negative for brain waves.The family has agreed to organ donation.When the nurse turns the patient's head quickly from side to side,the patient's eyes do not move.The nurse knows this is the result of the loss of what reflex?

Accepted Answer

A)  Oculovestibular 
B)  Corneal 
C)  Oculocephalic 
D)  Pupillary 
A)  Oculovestibular 
B)  Corneal 
C)  Oculocephalic 
D)  Pupillary

Question 9

A patient is admitted with massive head trauma.The patient is unresponsive and on mechanical ventilation.The electroencephalogram (EEG)is negative for brain waves.The family has agreed to organ donation.Which organs would not be considered for transplant?

Accepted Answer

A)  Heart 
B)  Lung 
C)  Liver 
D)  Kidney 
A)  Heart 
B)  Lung 
C)  Liver 
D)  Kidney

Question 10

What happens to patients that meet criteria for imminent death?

Accepted Answer

A)  They are placed on life support and referred to the organ procurement organizations. 
B)  They are referred to the organ procurement organizations at the time of their death. 
C)  They are referred to the organ procurement organizations in a timely manner. 
D)  They are referred to a practitioner to make the decision if they are candidates for organ donation. 
A)  They are placed on life support and referred to the organ procurement organizations. 
B)  They are referred to the organ procurement organizations at the time of their death. 
C)  They are referred to the organ procurement organizations in a timely manner. 
D)  They are referred to a practitioner to make the decision if they are candidates for organ donation.

Exam 36: Organ Donation and Transplantation

Which statement made by a patient who has received an organ transplant indicates that the teaching was effective?

A patient is admitted with a massive head trauma.The patient is unresponsive and on mechanical ventilation.The electroencephalogram (EEG)is negative for brain waves.The family has agreed to organ donation.How would this organ donor be classified?

A patient with liver failure manifested by portal hypertension and ascites is hospitalized and waiting for a liver transplant.Which order should the nurse question?

A nurse is preparing a patient for a liver transplant.The patient asks which stage of the procedure is the longest and most difficult.What would the nurse tell the patient?

Potential recipients are matched with donors based on what factors?

The nurse is caring for a patient after a liver transplant.Which finding would be of most concern to the nurse?

The nurse is caring for a patient after a heart transplant.Which finding would the nurse anticipate after cardiac transplantation?

A patient is admitted with massive head trauma.The patient is unresponsive and on mechanical ventilation.The electroencephalogram (EEG)is negative for brain waves.The family has agreed to organ donation.Which organs would not be considered for transplant?

What happens to patients that meet criteria for imminent death?

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetic Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,and Delirium Management

End-Of-Life Care

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple-Organ Dysfunction Syndrome

Burns

Hematologic and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

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