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Terms in this set (49)
A liver recipient, 2-month A. hospital admission, blood cultures, routine blood
postoperative, presents to work, CXR, abdominal ultrasound, liver biopsy
a clinic with the following
complaints of 48-hour The transplant coordinator should do less invasive test
duration: temperature of first: blood cultures are needed to rule out sepsis
38.5°C (101.3°F), chills, and given the patient has a temperature of 38.5°C (101.3°F),
cough. He reports dark- routine blood work is needed to know what the
colored urine, light- patient's WBC, liver function test, and creatinine levels.
colored stools, yellow CXR is needed to rule out pneumonia because the
skin, and a loss of patient has chills and a cough. Abdominal ultrasound
appetite. The transplant is needed because the patient has had a liver
coordinator should transplant and has dark urine, light stools, and yellow
anticipate the following skin. If infection has not been ruled out, the
course of events in what coordinator should check for liver rejection.
order?
A. hospital admission,
blood cultures, routine
blood work, CXR,
abdominal ultrasound,
liver biopsy
B. liver biopsy, blood
cultures, routine blood
work, CXR, abdominal
ultrasound
C. IV antibiotics, blood
cultures, routine blood
work, CXR, ERCP,
abdominal ultrasound,
hospital admission
D. liver biopsy, blood
,When teaching a D. 3 and 4 only
candidate about living-
related donor
transplantation, which of
the following concepts
are important to include?
1. Transplantation is a cure.
2. Less
immunosuppression is
typically required.
3. expected length of the
operation
4. potential for graft loss
A. 1 and 2 only
B. 1 and 4 only
C. 2 and 3 only
D. 3 and 4 only
A transplant coordinator is B. Signs of rejection include fatigue and light colored
educating a liver stools.
transplant recipient who is Antirejection medications are increased, not lowered
hepatitic C virus (HCV)- during episodes of rejection. Infections are common
positive about potential due to antirejection medications, not antihypertensive
complications. Which of medications. The recipient is still HCV-positive even
the following should be after the liver transplantation and treatment may be
discussed? necessary
A. Antirejection
medications are usually
lowered during episodes
of rejection.
B. Signs of rejection
include fatigue and light
colored stools.
C. Infections after
transplant can be
common due to
antihypertensive
medications.
D. The risk of recurrent
hepatitis C is very low
after a liver transplant.
, A patient received a C. 2 and 3 only
living-related donor When renal venous thrombosis occurs, the kidney
kidney transplant 2 days cannot be salvaged. The patient will be required to
ago. Urine output has return to dialysis and retransplanted.
abruptly stopped. A stat
renal ultrasound
confirmed renal vein
thrombosis. The patient is
rushed back to the
operating room for
allograft nephrectomy.
Which of the following
should the transplant
coordinator immediately
anticipate?
1. anticoagulation therapy
2. UNOS listing for
retransplant
3. need for dialysis
4. ineligibility for future
living donor transplant
A. 1 and 3 only
B. 1 and 4 only
C. 2 and 3 only
D. 2 and 4 only
A heart transplant D. The internal jugular vein is the most common
recipient is being approach.
prepared for an A right ventricular biopsy is performed to determine
endomyocardial biopsy. rejection. The most common venous access is through
Which of the following the right internal jugular vein.
should the transplant
coordinator explain to the
recipient?
A. An echocardiogram is
needed following the
biopsy.
B. Endomyocardial tissue
is obtained from the
atrium.
C. An overnight stay at the