NR 341 Final Exam Questions with 100% Correct Answers

Organ Donation Triggers Correct Answer 1. talk about ventilator withdrawal/terminal wean 2. comfort care measures 3. GCS < or = 5 4. Brain death testing 5. Positive apnea test Apnea Test Correct Answer -ran for 8-10 mins -take patient off vent but keep O2 -positive: no respiratory movement = increased CO2 Support for Organ Donation Correct Answer -thyroid: levoythyroxine -DI: DDAVP/vasopressin/desmopressin and monitor UO -pancreas:(BG will run high) insulin, q 1 hour accu checks -blood pressure: disconnect with SNS, neuro storm, put patient on levophed and vasopressin -respiratory: vent dependent, maintain Hgb around 10 Serum CO2 Correct Answer HCO3 Nursing role for the donor patient Correct Answer scripted and consistent Brain death testing Correct Answer A: Apnea test B: EEG C: Cerebral angiography D: Radionuclide cerebral perfusion scan -will have A and C or D Circulatory Death Correct Answer -after heart stops -OD's Organ Recipient Meds Correct Answer 1. Prednisone 2. Tacrolimus/Cyclosporine (need lab draws for therapeutic levels and nephrotoxic) 3. Mycophenolate Mofetil Organ Recipient Precautions Correct Answer -need to wear a mask -no raw fruit or veg unless properly washed -no fresh flowers/plants -no pet therapy Complications to Immunusuppressants Correct Answer 1. HTN - put on BP meds