RN Pre-Employment and Transplant Care Review

Vocabulary practice flashcards covering liver and kidney transplant care, nursing interventions, JCIA standards, lab value interpretations, and drug calculation conversions.

JCIA Patient Fall Prevention Standard

Nursing intervention goal supporting JCIA standards through the use of individualized fall risk assessments and safety protocols.

Tacrolimus-Induced Neurotoxicity

A condition suspected in a renal transplant patient receiving tacrolimus who presents with tremors and confusion.

Hepatic Encephalopathy Nursing Intervention

The administration of lactulose as the primary nursing action for managing hepatic encephalopathy.

JCIA Informed Consent Standard

Quality standard requiring that patient consent must be documented and understood by the patient.

Elevated Liver Failure Enzymes

Laboratory values of ALT and AST that are typically elevated during liver failure.

Acute Liver Failure Priority Intervention

Essential nursing action focused on closely monitoring the patient for signs of bleeding.

Chronic Kidney Disease Priority Intervention

Nursing priority requiring regular monitoring of electrolyte levels and renal function.

Post-Renal Transplant Acute Complication Assessment

Clinical occurrence of fever ($38.5\,^\circ\text{C}$), elevated WBCs, and flank pain in a post-renal transplant patient requiring immediate notification of the transplant physician.

Post-Liver Transplant Decompensation Sign

A concerning finding 24 hours post-liver transplant marked by an increasing PT/INR accompanied by declining mental status.

Tacrolimus Trough Notification Threshold

A serum tacrolimus trough level of $17\,\text{ng/mL}$ in a kidney transplant recipient that prompts immediate physician notification.

Post-Liver Transplant Infection Control Protocol

Infection control measure appropriate 5 days post-liver transplant consisting of protective isolation with hand hygiene and mask.

Cyclosporine Dietary Restriction

Essential discharge educational instruction for renal transplant recipients taking cyclosporine to strictly avoid grapefruit juice.

Suspected Renal Graft Rejection Indicators

Clinical presentation consisting of decreased urine output, weight gain, and rising creatinine levels indicating possible graft rejection.

JCIA Nasogastric Tube Placement Verification

Standard recommended method using X-ray verification to confirm initial placement of a nasogastric tube.

Vancomycin Pre-Administration Assessment

Critical assessment of serum creatinine levels prior to administering IV vancomycin to avoid nephrotoxicity.

Transplant Immunosuppressant Refusal Management

Appropriate nursing response to a kidney transplant patient refusing immunosuppressants by educating them on rejection risks and notifying the healthcare team.

Wrong Medication Witnessing Protocol

Immediate nursing action to report to the nurse manager upon witnessing another staff member administer an incorrect medication to a transplant patient.

Ascites Priority Nursing Action

Essential clinical management actions for ascites in liver failure, including monitoring fluid balance and measuring abdominal girth.

Metabolic Acidosis with Hyperkalemia Presentation

Arterial blood gas values showing $\text{pH } 7.28$, $\text{PaCO}_2 = 35\,\text{mmHg}$, $\text{HCO}_3^- = 15\,\text{mEq/L}$, accompanied by a serum potassium level of $6.2\,\text{mEq/L}$.

Mass Unit Conversion Standards

Fundamental metric conversions where $0.025\,\text{mg} = 25\,\text{mcg}$, $1200\,\text{mcg} = 1.2\,\text{mg}$, and $0.0008\,\text{g} = 800\,\text{mcg}$.