The nurse is preparing to admit a patient with heart failure who has been listed on the UNOS transplant list as status 1A. What is the best understanding of this classification by the nurse?
a. The patient can be managed at home with a left ventricular assist device.
b. Hospitalization is required with mechanical support and vasoactive infusions.
c. The patient has advanced heart failure and is being managed with medication.
d. An advanced heart failure patient not successfully managed on medications.
B
Status 1A is the most urgent status assigned to advanced heart failure awaiting transplantation. Status 1A patients are expected to die within a week without transplant. Status 1B patients are less urgent and can be managed at home with a left ventricular assist device. A patient with advanced heart failure being managed with medications is being managed appropriately. An advanced heart failure patient not successfully managed on medications has the option of listing for a heart transplant.
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