In a situation where a patient is eligible for organ donation, how should a nurse proceed in approaching the family about donating the patient's organs?
Contact the donor network and allow them to initiate the conversation with the family.
Provide the family with organ donation pamphlets and leave the decision to them.
Discuss organ donation with the family clergy if present.
Discuss organ donation options directly with the family.
The Correct Answer is A
A. Contact the donor network and allow them to initiate the conversation with the family:
This is the standard protocol. Only trained organ procurement organization (OPO) staff should initiate organ donation discussions to ensure the family receives accurate and compassionate guidance.
B. Provide the family with organ donation pamphlets and leave the decision to them:
Providing materials may be part of the process after OPO involvement, but initiating this conversation is not within the nurse’s role.
C. Discuss organ donation with the family clergy if present:
Clergy may be involved for spiritual support, but they do not initiate medical discussions about organ donation.
D. Discuss organ donation options directly with the family:
The nurse should not directly initiate organ donation discussions. This must be done by the OPO or donor network, per national regulations and hospital policy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Focus solely on treating existing organ dysfunctions once MODS develops:
While treating organ dysfunction is necessary, prevention is key. Once MODS sets in, prognosis worsens significantly.
B. Muscle weakness:
This is a symptom, not a goal of management. It is common in critically ill patients but not the focus here.
C. Delay treatment interventions until organ failure is confirmed for accurate diagnosis:
Delaying treatment leads to worsening of SIRS and a higher risk of MODS. Early intervention is critical.
D. Prevent the progression from SIRS to MODS to improve prognosis:
Early recognition and treatment of SIRS (e.g., with fluids, antibiotics, and source control in sepsis) can prevent MODS and improve outcomes.
Correct Answer is C
Explanation
A. Dry skin:
This is more typical of heat stroke, where the body fails to regulate temperature and sweating stops.
B. Paranoia:
Paranoia is not a hallmark of heat exhaustion; it may be seen in severe hyperthermia or neurologic conditions.
C. Moist skin:
In heat exhaustion, the person continues to sweat as the body tries to cool down, resulting in cool, moist skin.
D. Hypervigilance:
Not a classic sign of heat exhaustion - this term refers to increased alertness, not typically associated with this condition.
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