FREE CMSRN Transplant Questions and Answers Flashcards
6 cards from real CMSRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 FREE CMSRN Transplant Questions and Answers flashcards as text
A patient is 48 hours post-kidney transplant and develops oliguria, fever, and tenderness over the graft site. Which complication should the nurse suspect first?
Answer: Acute rejection
Acute rejection typically occurs days to weeks after transplant and presents with decreased urine output, fever, and graft tenderness.
Which laboratory value is MOST important for the nurse to monitor in a patient receiving tacrolimus after a liver transplant?
Answer: Serum creatinine
Tacrolimus is nephrotoxic, so serum creatinine must be closely monitored to detect renal impairment early.
A nurse is educating a heart transplant recipient about infection prevention. Which statement by the patient indicates a need for further teaching?
Answer: I can eat fresh salads from any restaurant without worry
Immunosuppressed transplant recipients should avoid raw, unwashed produce from uncertain sources due to increased infection risk.
During the immediate postoperative period after a lung transplant, which assessment finding requires the MOST urgent nursing intervention?
Answer: Oxygen saturation dropping to 88% on 2L nasal cannula
A significant drop in oxygen saturation in a new lung transplant patient may indicate primary graft dysfunction or airway complications requiring immediate intervention.
Which immunosuppressive protocol is considered standard induction therapy to prevent early rejection in solid organ transplantation?
Answer: Basiliximab with corticosteroids
Basiliximab, an IL-2 receptor antagonist, combined with corticosteroids is a standard induction regimen to prevent early acute rejection.
A pancreas transplant recipient reports persistent hyperglycemia despite a functioning graft confirmed by C-peptide levels. What should the nurse assess NEXT?
Answer: Medication compliance with immunosuppressants
Certain immunosuppressants like tacrolimus can cause drug-induced diabetes, so medication compliance and drug levels should be assessed when hyperglycemia occurs despite a functioning graft.