Organ transplant

The nurse is caring for a client with a history of a renal transplant who has just been diagnosed with chronic rhinosinusitis. While being admitted to the clinic, the client asks, "Will this chronic infection hurt my new kidney?" What should the nurse know about chronic rhinosinusitis in this client? Immunosuppressive drugs can cause organ rejection. The client will have exaggerated symptoms of rhinosinusitis due to immunosuppression. Chronic rhinosinusitis can damage the transplanted organ. Taking immunosuppressive drugs can contribute to chronic rhinosinusitis.

Taking immunosuppressive drugs can contribute to chronic rhinosinusitis.

The nurse is caring for a client who is being assessed for brain death. Which are cardinal signs of brain death? Select all that apply. No brain waves Absence of brainstem reflexes Apnea Coma

Absence of brainstem reflexes Apnea Coma

The nurse is caring for a client who is rapidly progressing toward brain death. The nurse should be aware of what cardinal signs of brain death? Select all that apply. Absence of deep tendon reflexes Apnea Absence of pain response Absence of brain stem reflexes Coma

Absence of brainstem reflexes Apnea Coma

When a patient is taking an immunosuppressant following heart transplantation, the nurse would determine which of the following as the MOST important intervention? Educate the patient regarding signs and symptoms of infection. Assess vital signs every 4 hours. Prevent exposure to potentially harmful agents such as fresh fruit. Place the patient in an isolation room.

Assess vital signs every 4 hours.

A client with cirrhosis has experienced a progressive decline in his health; and liver transplantation is being considered by the interdisciplinary team. How will the client's prioritization for receiving a donor liver be determined? By systematically ruling out alternative treatment options By objectively determining the client's medical need By considering the client's age and prognosis By objectively assessing the client's willingness to adhere to post-transplantation care

By objectively determining the client's medical need

A trauma client in the ICU has been declared brain dead. What diagnostic test is used in making the determination of brain death? Magnetic resonance imaging (MRI) Electroencephalography (EEG) Electromyography (EMG) Computed tomography (CT)

Electroencephalography (EEG)

A nurse is assisting with the clinical examination for determination of brain death for a client, related to potential organ donation. All 50 states in the United States recognize uniform criteria for brain death. The nurse is aware that the three cardinal signs of brain death on clinical examination are all of the following except: Glasgow Coma Scale of 6 Coma Apnea Absence of brain stem reflexes

Glasgow Coma Scale of 6

Which changes occur to the heart as a result of heart transplant? Heart beats faster than the natural heart No significant changes are noted in the heart The heart takes less time to increase the heart rate in response to exercise Heart beats slower than the natural heart

Heart beats faster than the natural heart

Which term refers to the shifting of brain tissue form an area of high pressure to an area of low pressure? Cushing response Autoregulation Monro-Kellie hypothesis Herniation

Herniation

A client with severe combined immunodeficiency is to receive a hematopoietic stem cell transplant. What would the nurse expect to be started? Chest physiotherapy Immunosuppressive agents Anticoagulation Antibiotic therapy

Immunosuppressive agents

A client has a poor prognosis after being involved in a motor vehicle accident resulting in a head injury. As the client's ICP increases and condition worsens, the nurse knows to assess for indications of approaching death. These indications include which of the following? Signs of internal bleeding Loss of brain stem reflexes Dry mucous membranes Hemiplegia

Loss of brain stem reflexes

A client with severe combined immunodeficiency disease is receiving immunosuppression therapy to ensure engraftment of depleted bone marrow during transplantation procedures. What is the priority nursing care for this client? Daily weight measurements and strict monitoring of intake and output Meticulous infection control precautions Continuous monitoring of cardiac status Daily oral assessment and oral care every 4 hours

Meticulous infection control precautions

Which of the following does a nurse have to assess during the bone marrow transplant (BMT) procedure? Blood pressure status Urine gravity status Psychological status Electrolyte levels

Psychological status

The nurse is caring for a 21-year-old client with a diagnoses of brain death due to injuries sustained in a snowboarding accident. The family has chosen to remove life support measures to allow the client's death. Upon hearing the family's decision, what is the nurse's first action? Provide family members with PRN sedation Ask the family if the client had advanced directives Request senior medical staff discuss organ donation Assess for interrupted family processes

Request senior medical staff discuss organ donation

A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant. Which of the following most likely would be ordered? Chenodiol Ursodiol Tacrolimus Interferon alfa-2b, recombinant

Tacrolimus

A nurse is planning the care of a client who requires immunosuppression to ensure engraftment of depleted bone marrow during a transplantation procedure. What is the most important component of infection control in the care of this client? Thorough and consistent hand hygiene Appropriate use of gloves and goggles Antibiotic administration Administration of IVIG

Thorough and consistent hand hygiene

In which response do T lymphocytes have a role? Anaphylaxis Allergic hay fever and asthma Transplant rejection Bacterial phagocytosis and lysis

Transplant rejection