A patient has become a candidate to donate organs in Town A. Based on the UNOS priority system, which potential recipient would be the best candidate to receive a kidney transplant?
1. A patient on dialysis who lives in Town A and has been on the transplant list for 3 years
2. A patient with acute renal failure, the same blood type, and all matching antigens who lives in Town A
3. A patient on dialysis with compatible blood type and six matching antigens who lives in Town B (60 miles away)
4. A patient on dialysis who lives in Town B (60 miles away) and has been on the transplant list for 4 years
3
Rationale 1: Being on a transplant list does not make the patient the best candidate without a match.
Rationale 2: The patient has acute renal failure and is not a candidate for transplanting at this time.
Rationale 3: A zero antigen-mismatched organ is when the donor and recipient have compatible blood types, and all six of the HLA antigens match. When this occurs, the organ is offered to the matching potential recipient first.
Rationale 4: Being on the transplant list does not make the patient the best candidate without a match.
You might also like to view...
A nurse manager needs to supplement the staff for the next schedule. Which option would be the most significant drain on the unit's staffing budget?
1. PRN nurse 2. Internal float nurse 3. Part-time nurse 4. Agency nurse
The nurse caring for a Mexican-American patient demonstrates cultural sensitivity by:
a. encouraging consultation of male members of the family regarding health care decisions. b. discouraging consultation of male members of the family regarding health care decisions. c. insisting on providing all personal care required by the patient. d. asking only female family members about health care decisions.
A patient inquires if his blood pressure is normal. The nurse responds that normal blood pressure is defined as less than:
1. 160/70 mm Hg. 2. 128/60 mm Hg. 3. 139/89 mm Hg. 4. 130/85 mm Hg.
The nurse has admitted a patient who sustained a partial-thickness burn injury of 28% of total body surface area (TBSA) and a full-thickness injury of 30% of TBSA
Which American Burn Association (ABA) classification would the nurse assign to this injury? 1. Moderate 2. Major 3. Superficial 4. Minor