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A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?

A.

Your name cannot be removed once you are listed on the organ donor list

B.

You must be at least 21 years of age to become an organ donor

C.

I cannot be a witness for your consent to donate

D.

Your desire to be an organ donor must be documented in writing

Answer and Explanation

The Correct Answer is D

the correct answer is d. Your desire to be an organ donor must be documented in writing. This is because organ donation is a legal and medical process that requires your consent and documentation1. Some of the other options are incorrect or misleading. Here are some explanations:


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Related Questions

Correct Answer is D

Explanation

Hypertonicity is a sign of increased muscle tone and stiffness, which can indicate that the newborn is experiencing withdrawal from methadone exposure in utero. Methadone is an opioid medication that can cross the placenta and cause neonatal abstinence syndrome (NAS) in the newborn.

Choice A, acrocyanosis, is wrong because it is a normal finding in newborns.

Acrocyanosis is a bluish discoloration of the hands and feet due to immature peripheral circulation. It usually resolves within the first 24 to 48 hours of life.

Choice B, bradycardia, is wrong because it is not a typical sign of withdrawal.

Bradycardia is a slow heart rate, usually less than 100 beats per minute in newborns. It can be caused by hypoxia, hypothermia, hypoglycemia, or vagal stimulation.

Choice C, bulging fontanels, is wrong because it is a sign of increased intracranial pressure, not withdrawal. Bulging fontanels can be caused by meningitis, hydrocephalus, or hemorrhage.

Normal ranges for newborn vital signs are as follows:

  • Heart rate: 120 to 160 beats per minute
  • Respiratory rate: 30 to 60 breaths per minute
  • Temperature: 36.5 to 37.5°C (97.7 to 99.5°F)
  • Blood pressure: 60 to 80 mm Hg systolic and 40 to 50 mm Hg diastolic

Correct Answer is B

Explanation

The correct answer is choice B. Isolate the client from staff who are pregnant. Choice A rationale: Aspirin should not be administered to children or adolescents with viral infections like rubella due to the risk of Reye's syndrome, a potentially fatal condition that causes liver and brain damage. Choice B rationale: Rubella (German measles) is particularly dangerous for pregnant women because it can cause congenital rubella syndrome in the fetus, leading to severe birth defects. Therefore, isolating the client from pregnant staff is crucial to prevent exposure. Choice C rationale: Airborne precautions are not necessary for rubella. Rubella is transmitted through respiratory droplets, so droplet precautions, not airborne precautions, are appropriate. Choice D rationale: Koplik spots are associated with measles (rubeola), not rubella. Therefore, monitoring for Koplik spots is not relevant for a client with rubella.

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