Quiz #10

What precaution or intervention has the highest priority for a patient going home on maintenance drugs after receiving a kidney transplant? A. Monitoring for bacterial and fungal infections B. Avoiding the use of table salt C. Measuring abdominal girth daily D. Avoiding blood donation

A. Monitoring for bacterial and fungal infections

Which patients are likely to be excluded from receiving a transplant? SATA A. Patient with breast cancer that has metastasized to lungs B. Patient with advanced and uncorrectable heart disease C. Patient with a chemical dependency D. Patient who is 70 years old and has a living related donor E. Patient with type 2 diabetes F. Patient who is receiving treatment for peptic ulcer disease

A. Patient with breast cancer that has metastasized to lungs B. Patient with advanced and uncorrectable heart disease C. Patient with a chemical dependency

The nurse is caring for a patient after a kidney transplant. Which finding prompts the nurse to quickly alert the health care provider about a probable hyperacute rejection? A. There is no urine output and problems occur immediately B. Blood urea nitrogen and creatinine show trend for elevation C. Patient reports some tenderness at the incision site D. Patient has an allergic reaction to the transplant medications

A. There is no urine output and problems occur immediately

A patient who had a kidney transplant 5 years ago is experiencing progressively reduced function of the organ. Which intervention is appropriate for this patient? A. Patient should be admitted to intensive care for observation and possible dialysis B. Patient should be educated about retransplantation; related living donor should be sought C. Drug management may limit the damage and allow the graft to be maintained D. Patient should be immediately prepped for surgical removal or the organ

B. Patient should be educated about retransplantation; related living donor should be sought

The intensive care nurse is caring for a patient who just received a kidney transplant from a related donor. The nurse notices hypotension and excessive diuresis, 1000 mL greater than intake over the past 12 hours. At this point, what is the primary concept that affects graft survival A. Infection B. Perfusion C. Elimination D. Cellular regulation

B. Perfusion

The nurse is caring for a patient who had kidney transplant surgery 3 days ago. The nurse notes a sudden and abrupt decrease in urine. The nurse alerts the HCP for suspected thrombosis. What is the priority concept that underlies this complication? A. Infection B. Perfusion C. Elimination D. Cellular regulation

B. Perfusion

What is the most important test the nurse should check to determine whether a transplanted kidney is functioning? A. Renal ultrasound B. Serum creatinine level C. White blood cell count D. Twenty-four-hour urinary output

B. Serum creatinine level

The intensive care nurse is caring fo the kidney transplant patient who was just transferred from the recovery unit. Which finding is the most serious within the first 12 hours after surgery and warrants immediate notification of the transplant surgeon? A. Diuresis with increased output B. Pink or dark reddish urine C. Abrupt decrease in urine D. Small clots in bladder irrigation fluid

C. Abrupt decrease in urine

How does the immune system respond to a graft when a transplant rejection occurs? A. Collateral circulation develops and the transplanted organ becomes engorged B. Opportunistic infections develop because the body is immunosuppressed C. Host's immune system starts inflammation and immunologic actions to destroy nonself cells D. Systemic tissue destruction occurs because of inability to differentiate self from nonself cells

C. Host's immune system starts inflammation and immunologic actions to destroy nonself cells

During surgery, a patient undergoing a heart transplant experiences rejection of the organ. What type of rejection is this? A. Acute B. Chronic C. Hyperacute D. Tranplant

C. Hyperacute

The action of which cell types must be suppressed to prevent acute rejection of transplanted organs? SATA A. Eosinophils B. Supressor T-cells C. Natural Killer cells D. Cytotoxic/cytolytic T cells E. Helper/inducer T-cells F. Neutrophils

C. Natural Killer cells D. Cytotoxic/cytolytic T cells

During the postoperative period after surgery for a kidney transplant, the client's creatinine level is 3.1 mL/dL. What should the nurse do first in response to this laboratory result? A. Notify the health care provider B. Check the intravenous infusion C. Obtain current blood test results D. Assess for decreased urine output

D. Assess for decreased urine output

The nurse is caring for the kidney transplant patient in the immediate postoperative period. During this initial period, the nurse will assess the urine output at least every hour for how many hours? A. First 8 hours B. First 12 hours C. First 24 hours D. First 48 hours

D. First 48 hours

A patient is admitted to the hospital for acute rejection of a kidney transplant that was performed 2 months ago. Which intervention is appropriate for this patient? A. Immediate removal of the transplanted kidney B. Grief and loss counseling to prepare for the loss of organ C. Magnetic resonance imaging of organ D. Organ biopsy to diagnose impaired function

D. Organ biopsy to diagnose impaired function