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concept of nursing 1
Heart Transplantation
Question | Answer |
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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 of bladder cancer. | -- |
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. | 1) Remove the donor's heart 2) Attach cardiopulmonary bypass to recipient 3) Remove the recipient's heart 4) Implant the donor's heart into recipient |