Exam (elaborations)
NR 341 Final Exam – Questions With Complete Answers
- Course
- Institution
NR 341 Final Exam – Questions With Complete Answers
[Show more]
Content preview
NR 341 Final Exam – Questions With CompleteAnswers
Organ Donation Triggers Right Ans - 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 Right Ans - -ran for 8-10 mins
-take patient off vent but keep O2
-positive: no respiratory movement = increased CO2
Support for Organ Donation Right Ans - -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 Right Ans - HCO3
Nursing role for the donor patient Right Ans - scripted and consistent
Brain death testing Right Ans - A: Apnea test
B: EEG
C: Cerebral angiography
D: Radionuclide cerebral perfusion scan
-will have A and C or D
Circulatory Death Right Ans - -after heart stops
-OD's
Organ Recipient Meds Right Ans - 1. Prednisone
2. Tacrolimus/Cyclosporine (need lab draws for therapeutic levels and
nephrotoxic)
3. Mycophenolate Mofetil
, Organ Recipient Precautions Right Ans - -need to wear a mask
-no raw fruit or veg unless properly washed
-no fresh flowers/plants
-no pet therapy
Complications to Immunusuppressants Right Ans - 1. HTN - put on BP
meds
2. Nephrotoxicity - keep all lab appointments
3. Hyperlipidemia - put on meds to control levels
4. Hyperglycemia - taught BG control
5. Infection - BS ABX, antifungal, antiviral
Rejection Right Ans - -need to biopsy first
Kidney Biopsy Right Ans - -apply a pressure dressing
-keep patient on effected side
-bed rest for 24 hrs
-assess for bleeding, flank pain, hematocrit, labs
-avoid lifting objects for 5-7 days
Liver Biopsy Right Ans - -need to coach the patient how to breathe through
the procedure since the liver is accessed through the ribs
-monitor for bleeding and pneumothorax
-keep patient lying on right side for minimum of 2 hours
Primary Survey Right Ans - -done in 1-2 mins to set priority for patient
-LOC: AVPU
-A: Airway -> fire, chemical, C spine injury
-B: Breathing -> contusion, fractured ribs, flail chest, neuro dysfunction to not
able to move diaphragm deep enough, abdominal trauma affected diaphragm
-C: Circulation -> control hemorrhage, 2 large bore IVs and administer fluids
-D: dysfunction - neuro disabilities and cranial nerves
-E: elements - is the patient safe, what is their exposure?
-F: full set of VS/family - get quick info, allergies, what happened at scene, med
hx
-G: Get resuscitation adjuncts: FAST and EFAST
FAST Right Ans - US to scan abdomen
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now