Perrin: Understanding the Essentials of Critical Care Nursing Chapter 15: Care of the Organ Donor and Transplant Recipient MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the questions 1) A nurse recognizes that he may need to advocate for organ donation because: A) The supply of donor organs meets the demand of potential recipients. B) Organ recipients are not expected to have a long life span because of complications associated with the transplant. C) The organ recipient usually enjoys a better quality of life at less cost to the health care system. D) The organ recipient is often confined by frequent health care visits in order to maintain health. Answer: C Explanation: A) Organ recipients are expected to live a longer life with better quality, at a lower cost to the health care system. The supply of donated organs falls very short of the demand. Options #1, #2, and #4 are not true. Nursing Process: Assessment Cognitive Level: Knowledge Category of Need: Safe Effective Care Management B) Organ recipients are expected to live a longer life with better quality, at a lower cost to the health care system. The supply of donated organs falls very short of the demand. Options #1, #2, and #4 are not true. Nursing Process: Assessment Cognitive Level: Knowledge Category of Need: Safe Effective Care Management C) Organ recipients are expected to live a longer life with better quality, at a lower cost to the health care system. The supply of donated organs falls very short of the demand. Options #1, #2, and #4 are not true. Nursing Process: Assessment Cognitive Level: Knowledge Category of Need: Safe Effective Care Management D) Organ recipients are expected to live a longer life with better quality, at a lower cost to the health care system. The supply of donated organs falls very short of the demand. Options #1, #2, and #4 are not true. Nursing Process: Assessment Cognitive Level: Knowledge Category of Need: Safe Effective Care Management 2) Which of the following is the best description of an antigen? A) Antigens are recognized by the body as foreign or nonself. B) The presence of HLA antigens means that the recipient cannot receive an organ. C) A recipient may have antihuman antigens that would react with a donated organ. D) An organ can only be transplanted if the potential donor and recipient antigens completely match. Answer: A Explanation: A) Antigens are recognized by the body as foreign or-nsoenlf. Everyone has HLA antigens. The question is how well they match. A recipient may have-ahnutmi an antibodies (rather than antigens). A complete match is rare, and could only occur with identical twins. #2 is incorrect. HLA antigens found on echromosome 6 helps the immune system determine what tissue is foreign and what is self. #3 is incorrect. A recipient may have antihuman antibodies (not antigens) that would react with a donated organ. #4 is incorrect. Nursing Process: Assessment Cognitive Level: Comprehension Category of Need: Physiological Integrity: Physiological Adaptation B) Antigens are recognized by the body as foreign or-nsoenlf. Everyone has HLA antigens. The question is how well they match. A recipient may have-ahnutmi an antibodies (rather than antigens). A complete match is rare, and could only occur with identical twins. #2 is incorrect. HLA antigens found on echromosome 6 helps the immune system determine what tissue is foreign and what is self. #3 is incorrect. A recipient may have antihuman antibodies (not antigens) that would react with a donated organ. #4 is incorrect. Nursing Process: Assessment Cognitive Level: Comprehension Category of Need: Physiological Integrity: Physiological Adaptation C) Antigens are recognized by the body as foreign or-nsoenlf. Everyone has HLA antigens. The question is how well they match. A recipient may have-ahnutmi an antibodies (rather than antigens). A complete match is rare, and could only occur with identical twins. #2 is incorrect. HLA antigens found on echromosome 6 helps the immune system determine what tissue is foreign and what is self. #3 is incorrect. A recipient may have antihuman antibodies (not antigens) that would react with a donated organ. #4 is incorrect. Nursing Process: Assessment Cognitive Level: Comprehension Category of Need: Physiological Integrity: Physiological Adaptation D) Antigens are recognized by the body as foreign or-nsoenlf. Everyone has HLA antigens. The question is how well they match. A recipient may have-ahnutmi an antibodies (rather than antigens). A complete match is rare, and could only occur with identical twins. #2 is incorrect. HLA antigens found on echromosome 6 helps the immune system determine what tissue is foreign and what is self. #3 is incorrect. A recipient may have antihuman antibodies (not antigens) that would react with a donated organ. #4 is incorrect. Nursing Process: Assessment Cognitive Level: Comprehension Category of Need: Physiological Integrity: Physiological Adaptation 3) Which of the following correctly describes which recipients can receive an organ from which donors? A) Recipients with blood type O are universal recipients. B) Recipients with blood type A can receive donations from donors with blood types A, AB, and O. C) Recipients with blood type B can receive donations from donors with blood types A, B, and O. D) Recipients with blood type AB can receive an organ from any donor blood type. Answer: D Explanation: A) Recipients with blood type AB are universal recipients; can receive an organ from any donor blood type. #1 is incorrect. Recipients with blood type O are universal donors (rather than recipients). #2 is incorrect because a recipient with blood type A cannot receive a blood type AB donation. #3 is incorrect because a recipient with blood type B cannot receive a blood type A donation. Nursing Process: Assessment Cognitive Level: Application Category of Need: Physiological Integrity/ Physiological Adaptation B) Recipients with blood type AB are universal recipients; can receive an organ from any donor blood type. #1 is incorrect. Recipients with blood type O are universal donors (rather than recipients). #2 is incorrect because a recipient with blood type A cannot receive a blood type AB donation. #3 is incorrect because a recipient with blood type B cannot receive a blood type A donation. Nursing Process: Assessment Cognitive Level: Application Category of Need: Physiological Integrity/ Physiological Adaptation C) Recipients with blood type AB are universal recipients; can receive an organ from any donor blood type. #1 is incorrect. Recipients with blood type O are universal donors (rather than recipients). #2 is incorrect because a recipient with blood type A cannot receive a blood type AB donation. #3 is incorrect because a recipient with blood type B cannot receive a blood type A donation. Nursing Process: Assessment Cognitive Level: Application Category of Need: Physiological Integrity/ Physiological Adaptation D) Recipients with blood type AB are universal recipients; can receive an organ from any donor blood type. #1 is incorrect. Recipients with blood type O are universal donors (rather than recipients). #2 is incorrect because a recipient with blood type A cannot receive a blood type AB donation. #3 is incorrect because a recipient with blood type B cannot receive a blood type A donation. Nursing Process: Assessment Cognitive Level: Application Category of Need: Physiological Integrity/ Physiological Adaptation