4092 5 Organ Transplant

Question 1

Random nursing dx

Answer 1

Risk for Spiritual Distress

Question 2

patients with a continued history of _____ ____ are not candidates for liver transplantation

Answer 2

alcohol/substance abuse

Question 3

In an ESRD patient, this helps indicate the need for a transplant: an___

Answer 3

anuria

Question 4

In an ESRD patient, this helps indicate the need for a transplant: Pr___

Answer 4

Proteinuria

Question 5

In an ESRD patient, this helps indicate the need for a transplant: Marked ____

Answer 5

Marked azotemia (elevated BUN and Cr)

Question 6

In an ESRD patient, this helps indicate the need for a transplant: Severe ___ ___

Answer 6

Severe electrolyte imbalance

Question 7

In an ESRD patient, this helps indicate the need for a transplant: FVE conditions such as

Answer 7

heart failure and pulmonary edema

Question 8

In an ESRD patient, this helps indicate the need for a transplant: ___ lung

Answer 8

Uremic lung

Question 9

Patient ages that make kidney transplant more risky

Answer 9

younger than 2, older than 70

Question 10

Cyclosporine is before a transplant because its an

Answer 10

immunosuppressant

Question 11

Kidney transplant: The client is usually ____ within 24 hr of surgery

Answer 11

dialyzed

Question 12

After a kidney transplant, the patient will use lifelong

Answer 12

immunosuppressants

Question 13

After a kidney transplant the urine will initially look

Answer 13

pink/bloody

Question 14

After a kidney transplant, a urinalysis should be done

Answer 14

daily

Question 15

_____ and/or dialysis may be necessary until kidney function is satisfactory

Answer 15

Diuretics

Question 16

what type of drug is Mannitol

Answer 16

diuretic

Question 17

Mannitol vs thiazides/loops

Answer 17

Mannitol is more effective in kidney transplant patients

Question 18

After kidney transplant, should they eat protein

Answer 18

Yes, to promote healing

Question 19

After kidney transplant, Restrict ____ intake to prevent fluid retention and hypertension especially when
taking prednisone

Answer 19

sodium

Question 20

After kidney transplant, potassium intake should be

Answer 20

normal amount

Question 21

Avoid concentrated ____ to control glycemic factors when on prednisone

Answer 21

sugars

Question 22

Hyperacute rejection occurs within __ hr after surgery.

Answer 22

48

Question 23

what is Hyperacute rejection

Answer 23

an antibody response causes blood clots to form in the vessels, causing damage

it’s irreversible

Question 24

Hyperacute rejection findings

Answer 24

fever, hypertension, pain at the transplant site

Question 25

Hyperacute rejection tx

Answer 25

immediate removal of the donor kidney

Question 26

Acute rejection occurs within

Answer 26

1 week to 2 years after surgery

Question 27

what is Acute rejection

Answer 27

antibodies cause vasculitis in the kidney

Question 28

Acute rejection findings

Answer 28

Oliguria
Anuria
and others

Question 29

Acute rejection treatment

Answer 29

increased doses of immunosuppressive medications

Question 30

When does Chronic rejection occur

Answer 30

months to years

Question 31

what is Chronic rejection

Answer 31

Blood vessel injury leads to fibrotic tissue, which leads to the kidney becoming nonfunctioning

Question 32

Chronic rejection tx

Answer 32

Monitor and continue the normal med regimen until dialysis is needed.

Question 33

Rejection is diagnosed through a kidney ___ and kidney ___

Answer 33

kidney scan and kidney biopsies.

Question 34

the most common cause of first-transplant-year morbidity and mortality

Answer 34

infection