ch 5 Organ Donation questions
a. "I need to notify TransLife (OPO) of my patient's impending death." - ANS-The nurse is
working for a hospital that holds an agreement with a local organ procurement organization
(OPO). The patient has a Glasgow Coma Scale (GCS) score of 3 and discussions have been
held with the family about withdrawing life support. Which statement by the nurse best describes
requirements that must be met to sustain Centers for Medicare and Medicaid Services (CMS)
Conditions of Participation?
a. "I need to notify TransLife (OPO) of my patient's impending death."
b. "I will contact the physician to obtain informed consent for organ donation."
c. "The charge nurse will notify TransLife (OPO) once the patient has been pronounced brain
dead."
d. "I need the physician to evaluate my patient's suitability for organ donation."
b. pH 7.30; PaCO2 38 mm Hg; HCO3 16 mEq/L - ANS-The nurse is managing a donor patient
six hours prior to the scheduled harvesting of the patient's organs. Which assessment finding
requires immediate action by the nurse?
a. Morning serum blood glucose of 128 mg/dL
b. pH 7.30; PaCO2 38 mm Hg; HCO3 16 mEq/L
c. Pulmonary artery temperature of 97.8° F
d. Central venous pressure of 8 mm Hg
a. A 36-year-old patient with a Glasgow Coma Scale score of 3 with no activity on
electroencephalogram - ANS-The charge nurse is reviewing the status of patients in the critical
care unit. Which patient should the nurse notify the organ procurement organization to evaluate
for possible organ donation?
a. A 36-year-old patient with a Glasgow Coma Scale score of 3 with no activity on
electroencephalogram
b. A 68-year-old male admitted with unstable atrial fibrillation who has suffered a stroke
c. A 40-year-old brain-injured female with a history of ovarian cancer and a Glasgow Coma
Scale score of 7
d. A 53-year-old diabetic male with a history of unstable angina status post resuscitation
b. A 35-year-old female with a history of food allergies; blood type O negative - ANS-The
transplant clinic coordinator is evaluating relatives of a patient with end-stage renal disease,
whose blood type is A positive, for suitability as a living donor for kidney transplantation. Which
family member best qualifies for evaluation?
a. A 65-year-old brother with a history of hypertension; blood type A positive
b. A 35-year-old female with a history of food allergies; blood type O negative
c. A 14-year-old son, otherwise healthy with no history; blood type B negative
d. A 70-year-old mother, with a history of sinus infections; blood type A positive
, a. Absence of a corneal reflex - ANS-The nurse is caring for a patient who is being evaluated
clinically for brain death by a physician. Which assessment findings by the nurse support brain
death?
a. Absence of a corneal reflex
b. Unequal, reactive pupils
c. Withdrawal from painful stimuli
d. Core temperature of 100.8° F
a. Patient post motorcycle crash with C2-C3 fracture - ANS-The nurse often assists with
brain-death testing. Which patient might have confounding factors for this testing?
a. Patient post motorcycle crash with C2-C3 fracture
b. Patient with massive hemorrhagic stroke
c. Patient with long-standing neuromuscular disease
d. Patient with flail chest and paradoxical chest wall motion.
a. Alemtuzumab (Campath) - ANS-The nurse is providing preoperative care to a patient who will
receive a transplant. The patient has high panel reactive antibodies (PRA). As part of induction
therapy for this patient, the nurse understands which medication to be of priority for
administration in the operating room?
a. Alemtuzumab (Campath)
b. Tacrolimus (Prograf)
c. Sirolimus (Rapamune)
d. Cyclosporine (Neoral)
b. Endotracheal suctioning as needed - ANS-The nurse is caring for a mechanically ventilated
patient following bilateral lung transplantation. When planning the care of this patient, what is
the priority nursing intervention?
a. Thirty-degree elevation of head of bed
b. Endotracheal suctioning as needed
c. Frequent side to side repositioning
d. Sequential compression stockings
c. Notify the organ procurement organization (OPO). - ANS-A family member approaches the
nurse caring for their gravely ill son and states, "We want to donate our son's organs." What is
the best action by the nurse?
a. Arrange a multidisciplinary meeting with physicians.
b. Consult the hospital's ethics committee for a ruling.
c. Notify the organ procurement organization (OPO).
d. Obtain family consent to withdraw life support.
c. Begin phenylephrine (Neo-Synephrine) for systolic BP < 90 mm Hg - ANS-The nurse is caring
for a patient in the critical care unit who, after being declared brain dead, is being managed by
the OPO transplant coordinator. Thirty minutes into the shift, assessment by the nurse includes
a blood pressure 75/50 mm Hg, heart rate 85 beats/min, and respiratory rate 12 breaths/min via
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