SOLVED

 Question 11 A patient received allogeneic hematopoietic stem cell transplantation 2 days ago. Which information should the nurse provide? 1. “Your body is accepting the transplanted cells so you should be feeling a lot better.” 2. “Your body is making normal hematopoietic cells.” 3. “You feel so bad because the transplanted cells are attacking your tissues, but that is normal and will pass.” 4. “You may not feel well today and we need to protect you from exposure to any infections.” Question 12 During the post-transplantation period, a patient received tacrolimus (Prograf). The nurse would monitor this patient for the development of which adverse effects? 1. Congestive heart failure 2. Nausea and vomiting 3. Hyperglycemia 4. Hair loss 5. Infection Question 13 A patient being conditioned for hematopoietic stem cell transplantation will receive muromonab-CD3 (Orthoclone OKT3). Which medications will the nurse anticipate administering before this medication is given? 1. Acetaminophen 2. Vitamin C 3. Penicillin 4. Diphenhydramine 5. Glucocorticoids Question 14 A patient recovering from liver transplant surgery is being instructed on the long-term use of steroid medication. Which education should the nurse provide? 1. Abdominal pain and nausea are side effects and are expected. 2. There are no major side effects associated with this medication. 3. This medication helps prevent organ rejection but you must report any vision changes and bone pain and be tested for diabetes regularly. 4. This medication works for a few months and will be discontinued. Question 15 The nurse is caring for a patient recovering from a kidney transplant. Which information should the nurse provide to this patient? 1. “You may have a graft site leak, so do not eat or drink anything until I talk to the surgeon.” 2. “I am going to slow down your IV fluids to see if that brings your blood pressure down.” 3. “It is probably going to be necessary to give you some fresh frozen plasma.” 4. “Hypertension is a common problem after surgery, so I will be giving you the antihypertensive medication your surgeon ordered in case this occurred.” Question 16 The nurse is preparing for oculocephalic reflex testing of a patient who may be brain dead. Which equipment should the nurse gather? 1. Reflex hammer 2. Cold water 3. Syringe 4. Hydrogen peroxide 5. A tongue blade Question 17 Apnea testing is being done on a patient that may be brain dead. During the test the patient develops ventricular tachycardia. What nursing action is indicated? 1. Reconnect the patient to the ventilator. 2. Draw an immediate arterial blood gas. 3. No action is necessary unless ventricular fibrillation ensues. 4. Allow the patient to die a natural death. 5. Treat the dysrhythmia. Question 18 A patient declared brain dead after cardiac surgery has been accepted as a potential donor. The family has given consent for donation. The nurse providing care to this patient would expect directions from which provider? 1. OPO coordinator 2. Surgeon 3. Cardiologist 4. Hospitalist Question 19 After several months of testing a patient is placed on the United Network for Organ Sharing (UNOS) waiting list for a kidney transplant. The patient says, “How long do you think it will take for me to get a kidney?” Which nursing response is indicated? 1. “Most people get a kidney within the first 6 months of being on the list.” 2. “It depends upon how much you are willing to pay for a kidney.” 3. “It is impossible to predict when your kidney will be available.” 4. “Some people die waiting for a kidney.” Question 20 The transplant team works to decrease the number of posttransplant infections due to iatrogenic causes. Which nursing intervention would support this goal? 1. Maintaining strict sterile technique with all invasive procedures 2. Teaching the patient to restrict the number of visitors the patients have after returning home 3. Identifying potential source of infection from patient history 4. Assisting with careful screening of donors