Issues in Organ Procurement, Allocation, and Transplantation
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- Read the article on pages 80-87.
- Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.
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- A passing score for this test is 13 correct answers.
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Registration Deadline: June 30, 2015
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CE TEST QUESTIONS
General Purpose: To provide information on issues related to the procurement, allocation, and transplantation of organs and tissues.
Learning Objectives: After reading this article and taking this test, you should be able to:
- Describe the history of transplantation and potential outcomes of organ or tissue transplantation.
- Outline the process of organ procurement and allocation.
- Define the laws governing and the ethical dilemmas related to transplantation and strategies for coping with associated moral distress.
- When did the first skin transplant occur?
- 450 BC
- 890 AD
- The first modern organ transplant involved
- a kidney.
- part of a liver.
- thyroid tissue.
- a heart.
- Karl Landsteiner contributed to the process of transplantation with his discovery of
- artificial means to maintain organs.
- vascular suturing techniques.
- the blood group system.
- immunosuppressive drugs.
- How many lives can benefit from tissues donated from one donor?
- 5 lives
- 15 lives
- 25 lives
- 50 lives
- Recipient complications of transplantation include
- multiple sclerosis.
- Parkinson's disease.
- The lowest 5-year survival rates after transplantation involve
- intestine transplants.
- liver transplants.
- pancreas transplants.
- heart/lung transplants.
- The highest 5-year survival rates in females after transplantation involve
- kidney transplants.
- heart transplants.
- pancreas transplants.
- liver transplants.
- Which organ can be procured from a live donor?
- partial lung
- As noted in the article, contraindications to organ donation include
- hepatitis A seropositive.
- a prion disease.
- brain death.
- hepatitis C seropositive.
- To determine brain death, tests are performed to determine if there is an absence of all of the following when removed from artificial ventilation except
- brainstem reflexes.
- motor responses.
- cardiac activity.
- For Donation after Cardiac Death, solid organs are procured usually within how many minutes after the heart stops beating?
- 5 minutes
- 15 minutes
- 25 minutes
- 35 minutes
- Which statement is true regarding religious guidelines on transplantation?
- Organs for transplantation should go to the most morally deserving persons.
- Donation and transplantation should not impede life or hasten the donor's death.
- The religion of the donor and the recipient should be the same.
- Less than half of all religious groups support organ or tissue donation and transplantation.
- What regulates state laws on the donation of organs and tissues from cadavers?
- the Uniform Anatomical Gift Act (UAGA)
- the United Network for Organ Sharing (UNOS)
- the National Organ Transplant Act (NOTA)
- the Organ Procurement and Transplant Network (OPTN)
- To be added to the UNOS transplant waiting list, the person
- can be in the early stages of organ failure.
- must be seen by a transplant surgeon in any transplant hospital in the world.
- cannot have suffered cardiac arrest and been resuscitated.
- can be a non-U.citizen who is not a U.resident.
- The rules for allocation of organs generally include the patient's
- educational level.
- time on the waiting list.
- desire for transplantation.
- General recipient contraindications to transplant include
- substance abuse within the last 2 years.
- inadequate financial resources.
- body mass index > 25 kg/m2.
- incarceration with a history of addiction.
- As noted in the article, nurses who experience moral distress have reported symptoms such as
- neck pain.
- cardiac arrhythmias.
- extremity stiffness.
- visual disturbances.
- The author recommends coping with moral conflict by doing any of the following except
- finding quiet times with God outside of work.
- praying and fasting.
- getting proper rest and exercise.
- developing personal relationships.