NUR 121 1 WEEK 2 LESSON INDICATIONS FOR THE HEART TRANSPLANT
Question 1 of 9
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?
• Incorrect
o “Your medical status alone determines if you are a candidate.”
Additional criteria other than medical status must be met for a patient
to be a heart transplantation candidate.
•
o “The provider will make that determination based on your need.”
The United Network for Organ Sharing, not the provider, uses a system
to ensure that organs are distributed fairly.
• Correct
o “You will also need to demonstrate you have adequate support.”
Patients must meet physical and psychologic criteria to ensure that they
are candidates for a heart transplantation.
•
o “The selection is a long process, and another physical assessment
will be required.”
Although the selection process may be long, another physical exam
may not be required.
Question 2 of 9
The nurse is reviewing potential candidates for heart
transplantation. Which patients have contraindications
for undergoing heart transplantation?
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, • Correct
o
A homeless patient with allergies
The homeless status of the patient is a relative contraindication to
undergoing a heart transplantation, as the patient has no support system
to provide assistance post-surgery.
•
o
A patient with history of pneumonia
The patient does not have contraindications for undergoing a heart
transplantation, because active, not past, infections are
contraindications.
• Correct
o
An obese patient with a BMI of 42 kg/m2
Morbid obesity (BMI of ≥40 kg/m2) is a relative contraindication to
undergoing a heart transplantation. This is due to poor outcomes from
long wait times related to challenges in identifying appropriately size-
matched donors and longer-term morbidity.
•
o
A patient with breast cancer in remission
The patient does not have contraindications for undergoing a heart
transplantation, because the cancer is in remission.
• Correct
o
A patient with uncontrolled diabetes mellitus (DM)
Uncontrolled DM is a relative contraindication to undergoing a heart
transplantation, as patients with DM are at greater risk of lower
survival rate.
Question 3 of 9
This study source was downloaded by 100000841990434 from CourseHero.com on 04-30-2022 15:19:59 GMT -05:00
https://www.coursehero.com/file/59358817/Week-2-Lesson-Indications-for-Heart-Transplantpdf/
Question 1 of 9
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?
• Incorrect
o “Your medical status alone determines if you are a candidate.”
Additional criteria other than medical status must be met for a patient
to be a heart transplantation candidate.
•
o “The provider will make that determination based on your need.”
The United Network for Organ Sharing, not the provider, uses a system
to ensure that organs are distributed fairly.
• Correct
o “You will also need to demonstrate you have adequate support.”
Patients must meet physical and psychologic criteria to ensure that they
are candidates for a heart transplantation.
•
o “The selection is a long process, and another physical assessment
will be required.”
Although the selection process may be long, another physical exam
may not be required.
Question 2 of 9
The nurse is reviewing potential candidates for heart
transplantation. Which patients have contraindications
for undergoing heart transplantation?
This study source was downloaded by 100000841990434 from CourseHero.com on 04-30-2022 15:19:59 GMT -05:00
https://www.coursehero.com/file/59358817/Week-2-Lesson-Indications-for-Heart-Transplantpdf/
, • Correct
o
A homeless patient with allergies
The homeless status of the patient is a relative contraindication to
undergoing a heart transplantation, as the patient has no support system
to provide assistance post-surgery.
•
o
A patient with history of pneumonia
The patient does not have contraindications for undergoing a heart
transplantation, because active, not past, infections are
contraindications.
• Correct
o
An obese patient with a BMI of 42 kg/m2
Morbid obesity (BMI of ≥40 kg/m2) is a relative contraindication to
undergoing a heart transplantation. This is due to poor outcomes from
long wait times related to challenges in identifying appropriately size-
matched donors and longer-term morbidity.
•
o
A patient with breast cancer in remission
The patient does not have contraindications for undergoing a heart
transplantation, because the cancer is in remission.
• Correct
o
A patient with uncontrolled diabetes mellitus (DM)
Uncontrolled DM is a relative contraindication to undergoing a heart
transplantation, as patients with DM are at greater risk of lower
survival rate.
Question 3 of 9
This study source was downloaded by 100000841990434 from CourseHero.com on 04-30-2022 15:19:59 GMT -05:00
https://www.coursehero.com/file/59358817/Week-2-Lesson-Indications-for-Heart-Transplantpdf/
