A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

"To harvest a client's organs, they must provide consent prior to death."

"The donor client's provider will harvest the organs for donation."

"During admission, all clients over the age of 18 should be asked about their organ donor status."

"The National Organ Transplant Act prohibits the sale and purchase of organs."

"Documentation about the client's organ donor preference is placed in the electronic medical record."

Answer and Explanation

Correct Answer : C,D,E

A. "To harvest a client's organs, they must provide consent prior to death.": Consent can be obtained after death if the individual had previously registered as a donor or if the next of kin provides consent. Organ donation can still occur if the donor has indicated their wishes prior to passing.

B. "The donor client's provider will harvest the organs for donation.": Organ harvesting is typically performed by a specialized team trained in organ procurement, not the primary care provider. The harvesting is conducted by professionals specifically designated for that purpose, ensuring expertise and proper protocols are followed.

C. "During admission, all clients over the age of 18 should be asked about their organ donor status.": It is standard practice to inquire about organ donation status upon admission to ensure that the healthcare team is aware of the client's wishes regarding organ donation. This process helps facilitate informed discussions and planning for potential organ donation.

D. "The National Organ Transplant Act prohibits the sale and purchase of organs.": The Act emphasizes that organ donation should be voluntary and altruistic, making it illegal to buy or sell organs. This law is in place to protect the integrity of the organ donation system and ensure ethical practices.

E. "Documentation about the client's organ donor preference is placed in the electronic medical record.": Documenting the client's organ donor status in their electronic medical record ensures that healthcare providers have access to this important information. It helps to facilitate communication among healthcare providers and supports adherence to the client's wishes.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

Near miss:

Incident Report 1: The nurse identified the client's allergy before administering azithromycin, preventing an adverse reaction. Holding the medication and notifying the provider ensured patient safety, making this a near miss rather than an adverse event.

Adverse Event:

Incident Report 2: The client did not receive prescribed prophylactic antibiotics during labor, leading to neonatal sepsis. The lack of antibiotic administration increased the risk of serious complications, making this an adverse event with potential long-term consequences.
Incident Report 3: A tenfold dosing error led to the administration of 60 units instead of 6 units of insulin, resulting in severe hypoglycemia and unresponsiveness. This critical medication error placed the client at significant risk for neurological damage or death, classifying it as an adverse event.
Incident Report 4: A critically low platelet value was reported but not communicated to the provider, delaying intervention and leading to a coma. The failure to act on critical lab results contributed to a preventable deterioration in the client’s condition, making this an adverse event.
Incident Report 5: Despite being identified as a fall risk, the client sustained a fall due to a malfunctioning call bell, leading to an injury. The failure to address the defective equipment compromised patient safety, making this an adverse event that could have been prevented.

A. Change IV solution bags every 36 hr. B. Avoid the delegation of hygiene care to assistive personnel (AP). C. Wear sterile gloves when removing urinary retention catheters. D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.

Correct Answer is D

Explanation

A. Change IV solution bags every 36 hr: Changing IV solution bags every 36 hours may not align with evidence-based practices aimed at promoting cost-effective care. Instead, guidelines typically recommend changing them based on clinical need or specific protocols, which can help reduce waste and costs.

B. Avoid the delegation of hygiene care to assistive personnel (AP): Delegating hygiene care to assistive personnel is essential for effective team functioning and cost-effective care. Preventing delegation can lead to increased workloads for nursing staff, which may not be the most efficient use of resources.

C. Wear sterile gloves when removing urinary retention catheters: Wearing sterile gloves when removing urinary retention catheters is not necessary; clean gloves are sufficient for this procedure. Promoting correct practices that align with guidelines can help reduce costs associated with unnecessary supplies.

D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions: Educating staff on the correct use of PPE is vital for preventing infection, reducing the spread of illness, and minimizing healthcare costs associated with complications. Proper training ensures that resources are used effectively, promoting both safety and cost-effective care.

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A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

A nurse manager on an acute care unit is preparing a staff presentation about promoting cost-effective care. Which of the following strategies should the nurse plan to include in the presentation?

Correct Answer is D

Explanation

A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?

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