The most common complication following organ transplant is
infection.
hyperacute rejection.
veno-occlusive disease.
graft-versus-host disease.
The Correct Answer is A
A. Infection: Infection is the most common complication following organ transplantation due to the lifelong immunosuppressive therapy required to prevent rejection. These medications reduce the immune system’s ability to fight pathogens, making the client more susceptible to bacterial, viral, and fungal infections.
B. Hyperacute rejection: Hyperacute rejection occurs immediately after transplantation but is rare due to modern pre-transplant compatibility testing. It is not the most common post-transplant complication.
C. Veno-occlusive disease: This condition primarily affects the liver and is uncommon after organ transplantation. It is not considered a frequent complication in the post-transplant period.
D. Graft-versus-host disease: Graft-versus-host disease is mainly a complication of bone marrow or stem cell transplants, not solid organ transplants. It is rare in other transplant types and does not occur commonly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Can you describe the quality of your chest pain?: While important for initial assessment and differentiating types of chest pain, the quality of pain does not determine eligibility for fibrinolytic therapy.
B. Do you take aspirin on a daily basis?: Daily aspirin use is relevant for antiplatelet therapy but does not determine candidacy for fibrinolytic treatment. It may influence bleeding risk, but timing of symptom onset is more critical.
C. Is there any family history of heart disease?: Family history provides information on risk factors but does not impact the immediate decision regarding fibrinolytic therapy.
D. What time did your chest pain begin?: Fibrinolytic therapy is most effective when administered within a specific time window, typically within 12 hours of symptom onset. Determining the onset of chest pain is essential to establish whether the client is a candidate for thrombolytic treatment and to maximize benefit while minimizing risk.
Correct Answer is D
Explanation
A. A client with an open femur fracture: While a femur fracture is serious due to risk of blood loss and fat embolism, it is not immediately life-threatening compared with a compromised airway or chest injury.
B. A client with 1+ pedal pulses: Weak but palpable pedal pulses indicate some distal perfusion. While this requires monitoring, it is not immediately life-threatening compared with a major chest injury.
C. A client with bleeding of scalp lacerations: Scalp lacerations can bleed significantly but are generally controllable with pressure and are not as immediately life-threatening as thoracic injuries.
D. A client with an open chest wound: An open chest wound poses a risk of tension pneumothorax or impaired ventilation, which can quickly become fatal. Airway and oxygenation take priority, making this client the highest treatment priority.
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