NR 341 Final Exam 2026 –
Study Guide with Questions
& Verified Answers
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,NR 341 Final Exam 2026 2026-03-04
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Organ Donation Triggers
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
-ran for 8-10 mins
-take patient off vent but keep O2
-positive: no respiratory movement = increased CO2
Support for Organ Donation
-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
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,NR 341 Final Exam 2026 2026-03-04
Serum CO2
HCO3
Nursing role for the donor patient
scripted and consistent
Brain death testing
A: Apnea test
B: EEG
C: Cerebral angiography
D: Radionuclide cerebral perfusion scan
-will have A and C or D
Circulatory Death
-after heart stops
-OD's
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Organ Recipient Meds
1. Prednisone
2. Tacrolimus/Cyclosporine (need lab draws for therapeutic levels and
nephrotoxic)
3. Mycophenolate Mofetil
Organ Recipient Precautions
-need to wear a mask
-no raw fruit or veg unless properly washed
-no fresh flowers/plants
-no pet therapy
Complications to Immunusuppressants
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
-need to biopsy first
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