Transplant Prep-U

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: absence of brain stem reflexes coma apnea GCS of 6

GCS of 6

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? request senior medical staff discuss organ donation provide family members with PRN sedation ask the family if the client had advanced directives assess for interrupted family processes

request senior medical staff discuss organ donation

the nurse is caring for a client who is being assessed for brain death. which are cardinal signs of brain death? SATA apnea no brain waves coma absence of brainstem reflexes

apnea, coma, absence of brainstem reflexes

which term refers to the shifting of brain tissue from an area of high pressure to an area of low pressure? herniation cushing response autoregulation monro-kellie hypothesis

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 anticoagulation immunosuppressive agents 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 dry mucous membranes hemiplegia loss of brain stem reflexes

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? meticulous infection control precautions daily oral assessment and oral care every 4 hours continuous monitoring of cardiac status daily weight measurements and strict monitoring of intake and output

meticulous infection control precautions

a trauma client in the ICU has been declared brain dead. wat diagnostic test is used in making the best determination that the brain's electrical activity has ceased? EEG CT MRI EMG

EEG (shows an absence of blood flow)

when a patient is taking an immunosuppressant following heart transplantation, the nurse would determine which of the following as the MOST important intervention? assess vital signs every 4 hours place the patient in an isolation room prevent exposure to potentially harmful agents such as fresh fruit educate the patient regarding signs and symptoms of infection

assess vital signs every 4 hours

In which response do T lymphocytes have a role? bacterial phagocytosis and lysis anaphylaxis allergic hay fever and asthma transplant rejection

transplant rejection

the nurse is caring for a client with a history of 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 taking immunosuppressive drugs can contribute to chronic rhinosinusitis 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

a client with cirrhosis has progressive decline in his health; and liver transplantation is being considered by the interdisciplinary team. how will the clients prioritization for receiving a donor liver be determined? 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 by systematically ruling out alternative treatment options

by objectively determining the client's medical need

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? antibiotic administration thorough and consistent hand hygiene administration of IVIG appropriate use of gloves and goggles

thorough and consistent hand hygiene

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? SATA apnea absence of pain response absence of deep tendon reflexes absence of brain stem reflexes coma

apnea, coma, absence of brain stem reflexes

Which changes occur to the heart as a result of heart transplant? A. heart beats slower than the natural heart B. heart beats faster than the natural heart C. the heart takes less time to increase the heart rate in response to exercise D. no significant changes are noted in the heart

heart beats faster than the natural heart

which of the following does a nurse have to assess during the bone marrow transplant (BMT) procedure? psychological status electrolyte levels blood pressure status urine gravity status

psychological status

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