MAT questions

The attending physician had documented in the medical record that a patient in the ICU has met brain death criteria. Which action should the nurse perform next?

Ask the hospital chaplain to approach the family for consent.

Notify Mid-America Transplant to evaluate for medical eligibility for organ donation.

Approach the family to obtain consent for organ donation.

Notify Social Services to approach the family.The attending physician had documented in the medical record that a patient in the ICU has met brain death criteria. Which action should the nurse perform next?
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The attending physician had documented in the medical record that a patient in the ICU has met brain death criteria. Which action should the nurse perform next?

Ask the hospital chaplain to approach the family for consent.

Notify Mid-America Transplant to evaluate for medical eligibility for organ donation.

Approach the family to obtain consent for organ donation.

Notify Social Services to approach the family.The attending physician had documented in the medical record that a patient in the ICU has met brain death criteria. Which action should the nurse perform next?
Notify Mid-America Transplant to evaluate for medical eligibility for organ donation
The family of a potential organ donor asks the nurse why transferring the client to an organ procurement recovery center is important. Which of the following statements would be the best response?

Select one:
"Trust me. Transferring the client to an organ procurement recovery center is just better."

"Transferring the client to an organ procurement recovery center decreases the length of time from recovery to organ transplantation."

"Transferring the client to an organ procurement recovery center is more convenient for everyone involved."

"Transferring the client to an organ procurement recovery center is the new trend in organ donation."
"Transferring the client to an organ procurement recovery center decreases the length of time from recovery to organ transplantation."
A patient recently admitted for surgery asks if she should notify her family that she recently decided to become an organ donor. Which response by the nurse would be the most appropriate answer?
Select one:

If you have indicated your wishes regarding organ donation on your driver's license, or in a national or state registry, you need to discuss your wishes with your family or designated proxy.

Your family can give consent for you to become an organ donor.

Your physician can write an order for you to become an organ donor.

Your drivers' license is the only verification you need to become an organ donor.
If you have indicated your wishes regarding organ donation on your driver's license, or in a national or state registry, you need to discuss your wishes with your family or designated proxy.
Which of the following statements best defines the goal of Mid-America Transplant's Aftercare Program?
Select one:
To honor the donor and create a living memory for the family.
To promote organ donation.
To create an ongoing history of all organ donor families.
To share the stories of organ donor families.
To honor the donor and create a living memory for the family.
A patient is being prepared for transfer to Mid-America Transplant for organ donation. Which of the following information about the patient would be the most important to report to Mid-America Transplant?
Select one:
Temperature is 99.1.
Potassium is 5.1 mEq/L.
Serology testing has been completed.
Within the last hour, the patient's blood pressure dropped to 88 mm HG requiring medication to increase it to 100 mm HG.
Within the last hour, the patient's blood pressure dropped to 88 mm HG requiring medication to increase it to 100 mm HG
It is essential for the nurse caring for the patient to continually monitor the patient for the clinical cues that may indicate it is an appropriate time to make a referral to Mid-America Transplant.
Which of the following statements is the most important for all referrals made for organ donation?
Select one:

All referrals should be emailed to Mid-America Transplant.

Referrals for organ and tissue donation can only be made for patients in the Intensive Care Units.

Early referrals are helpful in determining donor eligibility and may be beneficial to the healthcare team in providing care to the donor.

The referral to Mid-America Transplant is made after brain death is determined.
Early referrals are helpful in determining donor eligibility and may be beneficial to the healthcare team in providing care to the donor.
A nurse overhears a co-worker state: "My trauma patient I took care of last month became an organ donor. I feel so sad for their family. I just can't stop thinking about it."
In response to her colleague, what would be the nurse's best action?
Select one:
Offer to take the co-worker to lunch.

Send the co-worker flowers.

Send the co-worker a card of support.

Offer to assist the co-worker in finding bereavement
Offer to assist the co-worker in finding bereavement support.
Which of the following statements best defines the role of the United Network for Organ Sharing (UNOS) in organ allocation?
Select one:
Generate a ranked list of transplant candidates, or matches, based on medical criteria and donor compatibility.

Notify recipient families of the possibility of a donor.

Educate nurses regarding organ donation.

Match donors of the same ethnicity and religious beliefs.
Generate a ranked list of transplant candidates, or matches, based on medical criteria and donor compatibility.
A newly hired nurse in the ICU on orientation is caring for her patient with her preceptor. The patient has a severe head injury and is undergoing assessment to determine brain death. The nurse asks her preceptor, "How do we know quality and safety standards will be followed during organ donation?"
Which of the following statements would be the best response from the nurse?
Select one:
Government regulations to promote quality and safety in organ donation are regulated by the Centers for Medicare & Medicaid Services (CMS).

The hospital always provides safe care for our patients.

There is a quality and safety checklist for all procedures.

There are different quality and safety standards for patients who have been declared brain dead.
Government regulations to promote quality and safety in organ donation are regulated by the Centers for Medicare & Medicaid Services (CMS).
Which statement best defines the importance of approaching each organ donor family individually?
Select one:
It is the right thing to do.

Each family has their own unique set of circumstances, personalities, religious beliefs and culture.

Organ donation is a private matter.

Some families are easier to work with than others.
Each family has their own unique set of circumstances, personalities, religious beliefs and culture.
While speaking with the family of a potential organ donor the patient's mother states: "I am not certain how we can explain what is happening to our other children." What would be the nurse's best response? Select one: "The hospital has a Grief Support Group. I will give you the schedule of their meetings." "The staff in the ICU will help you any way we can." "Your religious leader will be there for you." "The Family Support Specialist from Mid-America Transplant can help answer your questions. The Aftercare Program has many resources to help you.""The Family Support Specialist from Mid-America Transplant can help answer your questions. The Aftercare Program has many resources to help you."Which statement best explains how bereavement differs from grief? Select one: Bereavement begins when the patient is terminal and ends at the time of death. Bereavement is the period of time from the beginning of the loss until acceptance has been reached. Bereavement begins at the time of loss and lasts approximately one year. Bereavement never ends.Bereavement is the period of time from the beginning of the loss until acceptance has been reached.All nursing interventions for the potential donor should support normal physiology. If the identified parameters are not met, how should the nurse respond? Select one: Notify the nursing supervisor that the patient is not stable. Initiate Advanced Cardiac Life Support (ACLS) protocols. Continue to monitor the patient for 10 hours to see if the designated parameters stabilize. Call the patient's physician to obtain necessary orders.Call the patient's physician to obtain necessary orders.A patient, known to be on the donor registry, has been declared brain dead. The nurse has confirmed patient is on the donor registry, maintained the urine output at 0.5-3.0 ml/kg/hr based upon ideal body weight, documented medications received for 24 hours prior to the Mid-America Transplant referral and recorded time of death. Which of the following statements best summarizes the actions of the nurse? Select one: The nurse has addressed the components of each of the exemplars for organ donation to enable this patient's end-of-life wishes to be honored. The nurse has maintained the physiological parameters to meet the requirements for organ donation. The nurse has followed hospital policy for organ donation. The nurse has followed the guidelines of the United Organ Sharing Network (UNOS).The nurse is assessing a patient with a traumatic brain injury for indication of potential brain death. The nurse would anticipate which of the following indications for signs of brain death? Select one: Cessation of circulatory and respiratory function. Unconscious, unable to breathe without ventilator assistance, with irreversible cessation of all brain function. Multiple organ failure with severe hypotension. Apnea with decerebrate posturing.Unconscious, unable to breathe without ventilator assistance, with irreversible cessation of all brain function.A patient is admitted to the ICU and is being prepared for emergency surgery. The patient informs the nurse that she recently decided to become an organ donor. What action should the nurse perform next? Select one: Assure the client that organ donation is a generous thing to do. Confirm the documentation showing the client's name is listed in a donor registry or that the client has a signed driver's license indicating they wish to be an organ donor. Discuss with the client's physician the need to write an order for organ and tissue donation. Approach the client's family to ask if they consent to the client's wishes to become an organ and tissue donor.Confirm the documentation showing the client's name is listed in a donor registry or that the client has a signed driver's license indicating they wish to be an organ donor.One of the essential aspects for the nurse caring for the donor and their family prior to donation is to: Select one: Explain the details of determining brain death. Discuss the family's consent to proceed with organ donation. Share other families' experiences with organ donation. Document and communicate any family preferences for the donation process with Mid-America Transplant.Document and communicate any family preferences for the donation process with Mid-America Transplant.The nurse overhears the family of a potential organ donor say, "We do not have the money it will cost to consent to organ donation." What would be the nurse's best response? Select one: "The hospital will work out a payment plan with you." "How much do you think donation will cost?" "Don't worry about the costs. You will be giving the gift of life." "All costs associated with donation are the responsibility of Mid-America Transplant.""All costs associated with donation are the responsibility of Mid-America Transplant."