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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["-2"]

Explanation

Step 1 is to calculate the change in blood pressure. Change in systolic blood pressure = 148 mm Hg - 130 mm Hg = 18 mm Hg. Change in diastolic blood pressure = 88 mm Hg - 80 mm Hg = 8 mm Hg.

Step 2 is to calculate the change in weight. Change in weight = 44.5 kg - 42.2 kg = 2.3 kg.

Step 3 is to calculate the change in pulse oximetry. Change in pulse oximetry = 98% - 100% = -2%.

A. "I can change who I designate as my health care proxy at any time.”. B. "The health care proxy does not go into effect until I am incapable of making decisions.”. C. "If I become incapacitated, end-of-life choices will be made by my proxy.”. D. "I have to choose a family member as my health care proxy.”.

Correct Answer is D

Explanation

Choice A rationale

The statement "I can change who I designate as my health care proxy at any time" indicates a correct understanding. A health care proxy designation is a revocable document, meaning the individual can modify or revoke their chosen proxy at any point, provided they have the decisional capacity to do so, reflecting their evolving wishes.

Choice B rationale

The statement "The health care proxy does not go into effect until I am incapable of making decisions" indicates a correct understanding. A health care proxy's authority is activated only when the principal is deemed medically incapacitated and unable to communicate their own healthcare decisions, preserving patient autonomy while capable.

Choice C rationale

The statement "If I become incapacitated, end-of-life choices will be made by my proxy" indicates a correct understanding. The designated health care proxy is legally empowered to make medical decisions, including end-of-life choices, on behalf of the incapacitated individual, aligning with the patient's previously expressed wishes or acting in their best interest.

Choice D rationale

The statement "I have to choose a family member as my health care proxy" indicates a need for clarification. While many individuals choose a family member, the law does not restrict the choice of a health care proxy to family members only. A person can designate any trusted adult, such as a friend, as their proxy, as long as they are competent and willing to serve. .

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Who should address organ donation first at the bedside?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["-2"]

Explanation

A nurse is caring for a client who has named someone to serve as their health care proxy. The client states they need clarification about this part of the advance directive. Which of the following statements by the client indicates that need for clarification?

Correct Answer is D

Explanation

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