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
Calling in additional staff from home involves complex decision-making regarding staffing needs, skill mix, and regulatory requirements, which falls outside the scope of practice for unlicensed assistive personnel. This task requires a registered nurse's clinical judgment and professional accountability to ensure appropriate patient care staffing levels.
Choice B rationale
Assisting medics with inter-facility transport involves patient assessment, monitoring, and potentially administering medications or interventions during transit. These activities require specialized training, licensure, and clinical judgment possessed by paramedics or registered nurses, not within the UAP's scope of practice.
Choice C rationale
Updating vital signs is a fundamental skill within the UAP's scope of practice, as it involves routine data collection and documentation. Recognizing and reporting changes in vital signs to the charge nurse aligns with the UAP's role in assisting with patient monitoring and contributing to the nursing assessment process.
Choice D rationale
Disclosing patient information to family members, even in an emergency, requires adherence to patient confidentiality regulations (e.g., HIPAA) and the nurse's clinical judgment to accurately convey complex medical information. This is a responsibility of a licensed nurse, not a UAP, to ensure ethical and legal compliance.
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale
While hearing loss can occur in some individuals with spina bifida due to associated anomalies or complications like meningitis, it is not as universally expected as other neurological impairments. The primary impact of hydrocephalus and neurological damage often manifests in areas directly related to brain development and function, making hearing loss a less common direct consequence.
Choice B rationale
Neurological damage associated with hydrocephalus and spina bifida frequently affects brain regions responsible for speech production and language processing. This can lead to various speech problems, including dysarthria or apraxia of speech, due to impaired motor control or cognitive deficits impacting linguistic expression and comprehension.
Choice C rationale
Frequent seizures are a potential complication of hydrocephalus and neurological damage due to abnormal electrical activity in the brain caused by structural anomalies or increased intracranial pressure. However, while possible, they are not as universally present in all cases as other common motor and cognitive impairments, making them a less frequent expectation.
Choice D rationale
Spina bifida often involves malformations of the spinal cord, directly impacting nerve function to the lower extremities. Hydrocephalus, by causing increased intracranial pressure and brain damage, can further impair motor control pathways. This combination frequently leads to motor deficits, resulting in varying degrees of difficulty walking or complete paralysis.
Choice E rationale
Hydrocephalus, especially when associated with neurological damage, can significantly impair cognitive development due to increased intracranial pressure and damage to brain tissue. This can manifest as delays in various cognitive domains, including learning, memory, problem-solving, and executive functions, impacting overall intellectual functioning.
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