Who should address organ donation first at the bedside?
The primary nurse caring for the client.
The social worker.
The organ procurement coordinator.
The attending physician.
The Correct Answer is C
Choice A rationale
The primary nurse, while having a close relationship with the client and family, is not typically the first professional to address organ donation. Their role involves providing direct medical care and support, and discussing organ donation could introduce a conflict of interest or compromise the therapeutic relationship during a sensitive time.
Choice B rationale
The social worker provides psychosocial support and resource navigation. While they may be involved in discussions about end-of-life care, initiating the organ donation conversation is a specialized role requiring specific training and adherence to legal and ethical guidelines, which typically falls outside their initial scope.
Choice C rationale
The organ procurement coordinator is specifically trained and legally authorized to discuss organ donation with families. They possess the necessary knowledge about the donation process, ethical considerations, and legal requirements, ensuring the conversation is handled sensitively and accurately, minimizing distress for the family.
Choice D rationale
The attending physician’s primary responsibility is the medical care of the patient. Introducing the topic of organ donation could potentially be perceived as abandoning care or create a conflict of interest. While they may support the coordinator, direct initiation by the physician is generally avoided to maintain trust and focus on patient care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Drinking tap water is not a primary concern with nerve agent exposure as these agents primarily affect the nervous system through inhalation, dermal absorption, or ingestion of contaminated food/water sources, not through tap water unless the water source itself is contaminated. Public water systems are usually well-protected.
Choice B rationale
While staying indoors with doors and windows closed is a valid protective measure against airborne contaminants like nerve agents, it doesn't encompass the full range of exposure routes, as nerve agents can also be absorbed dermally. Therefore, this statement alone is incomplete for effective teaching.
Choice C rationale
Nerve agents are organophosphorus compounds that inhibit acetylcholinesterase, leading to cholinergic crisis. They are highly volatile and can be inhaled as vapor or aerosol, or absorbed through the skin and mucous membranes, which makes this statement accurate regarding exposure pathways.
Choice D rationale
Decontamination from nerve agents typically involves immediate removal of contaminated clothing and washing with copious amounts of soap and water, or using reactive skin decontamination lotion (RSDL). However, bactericidal soap and hot water alone may not be sufficient for complete decontamination, and specialized decontamination procedures are often required in a hazardous material situation.
Correct Answer is ["42"]
Explanation
Step 1 is: Calculate the safe maximum dosage per day for the child. 7 mg/kg/day × 6 kg = 42 mg/day. The safe maximum dosage per day for this child is 42 mg.
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