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Week 10 CON
Week 10 Heart Transplantation
Question | Answer |
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A 22-year-old patient is diagnosed with terminal heart failure and starts the screening process for a heart transplantation. The patient questions the necessity of testing for a methicillin-resistant Staphylo Which is the best response by the nurse? | “Any active infection would disqualify you as a donor recipient.” |
Which statements are true regarding ethical aspects of heart transplantation decisions? | The patient must show evidence of providing informed consent. - Next of kin are legal decision-makers in the absence of advance directives.- A patient is considered legally competent to make decisions by signaling yes or no. |
The nurse is teaching a heart transplantation patient about bridge transplantation devices (BTTs). Which statement shows that the patient understands the purpose of BTTs? | “BTTs are used to improve cardiac output.” |
The nurse is caring for a patient who had heart transplantation surgery 2 weeks ago and now has abnormal endomyocardial biopsy (EMB) results. Which nursing action is the priority? | Assess the patient’s vital signs and oxygen level |
A patient has arrived in the critical care transplantation unit immediately following heart transplantation surgery. Which action by the nurse is a priority? | Check emergency equipment |
The nurse is caring for a patient who had heart transplantation surgery 2 days earlier. The nurse obtains the following vital signs: temperature 101.0o F, HR 90, and oxygen saturation 95% on room air. Which nursing action is a priority? | Assess the transplantation incision site |
A patient with end-stage heart disease asks, “After I meet the physical criteria for a heart transplantation, will I then be selected as a candidate?” Which response from the nurse is the most appropriate? | “You will also need to demonstrate you have adequate support.” |
The nurse is reviewing potential candidates for heart transplantation. Which patients have contraindications for undergoing heart transplantation? | - A homeless patient with allergies - An obese patient with a BMi of 42 kg/m2 - A patient with uncontrolled diabetes mellitus (DM) |
A patient with end-stage heart disease is inquiring about heart transplantation options. The patient has COPD and a history Which statement should the nurse make to gather more information regarding the patient’s indications for a heart transplantation? | “Have you been admitted to the hospital for your COPD?” |
A nurse is teaching a class on transplantation protocols. Which scenarios should be used to explain retransplantation? | - A heart transplantation recipient needs the donor heart replaced. - A patient is receiving a second heart transplantation from another donor. |
The nurse is assisting the transplantation team during heart transplantation surgery. Which finding would require immediate follow-up by the nurse? | Radial pulse is non-palpable of +1. |
The nurse is caring for a patient undergoing a heart transplantation. Which statement by the patient would require immediate follow-up? | I won’t have to worry about infections once I stop taking these medications.” |
The nurse is caring for a patient returning for an evaluation 6 months after heart transplantation surgery. The patient reports compliance with the medication regimen. Which assessment finding would require immediate follow-up? | Enlarged lymph node |
The nurse is caring for a patient who is next on the transplantation list and who is waiting at the hospital for a donor heart to become available. Which statement by the patient would be most concerning? | “I can stay at home since I only live about a 1-hour drive from the hospital.” |
The nurse is working on a heart transplantation team. After being notified that a donor heart has become available, how would the transplantation team proceed? Order the steps for a heart transplantation procedure. | - Remove the donor’s heart - Attach cardiopulmonary bypass to recipient - Remove the recipient’s heart - Implant the donor’s heart into recipient |