Question 1
A patient is being evaluated for rejection after a heart transplant. What should this assessment include?
◦ 2D echo to assess heart function and left ventricular ejection fraction
◦ Repeated heart biopsies to assess for myocyte damage or necrosis
◦ Signs of chest pain or pain, numbness, or tingling in the left arm
◦ Signs of heart failure, such as sudden weight gain, shortness of breath, and rales on auscultation of the lungs
Question 2
Which intervention is most important to include in the multidisciplinary plan to prevent infection in a patient during the early post-transplant period?
◦ Encouraging the patient to ambulate and use an incentive spirometer
◦ Keeping the patient on contact precautions for at least 1 week
◦ Providing vaccination against the flu virus
◦ Continuing the administration of antibiotics 10 to 14 days postop
Gangrene of the toes and foot as a result of an infection often means eventual amputation.
Course of infection by stage
Infection prevention and control
Chain of Infection
The battle plan of the body’s defenses.
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